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KMID : 1048120220110030135
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International Journal of Gastrointestinal Intervention
2022 Volume.11 No. 3 p.135 ~ p.138
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A Multidisciplinary approach to treat massive recurrent hematochezia from a jejunal Dieulafoy lesion: A case report
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Huynh Tien Manh
Le Quang Dinh
Luu Mai Ngoc
Nguyen Tram Thi Huyen
Bui Quy Nhuan
Mai Anh Phan Tuong
Tran Thang Hiep Duc
Tran Hien Minh
Vo Cong Hong Minh
Quach Duc Trong
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Abstract
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Jejunal Dieulafoy lesion (DL) is an exceedingly rare, life-threatening cause of gastrointestinal bleeding. Due to its rarity, intermittent bleeding symptoms that often necessitate prompt clinical intervention, variability in detection and treatment methods, and the risk of rebleeding, this condition frequently presents a diagnostic and therapeutic conundrum. We report a case of severe, intermittent, recurrent hematochezia due to a jejunal DL that was difficult to localize. In this case, the metallic coils used as a radiopaque marker allowed surgeons to accurately identify the bleeding site during intraoperative enteroscopy and successfully manage the lesion with minimally invasive laparoscopic surgery.
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KEYWORD
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Case reports, Gastrointestinal hemorrhage, Jejunum, Therapeutics, Vietnam
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