Related Experiment Video
Updated: Jul 19, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Massive gastrointestinal bleeding due to a Dieulafoy jejunal lesion: a case report
Roberto José González Zambrana1, Katerin Yaritza Hernández Reyes1, Marion José Valladares2
1General Surgery Department, Hospital Escuela Oscar Danilo Rosales Argüello, Ministerio de Salud Nicaragua, Nicaragua; Hospital Escuela Oscar Danilo Rosales Argüello, First Av. East. Barrio el Sagrario, C.P. 21000 León, Nicaragua.
Introduction:
Jejunal Dieulafoy lesions is a rare cause of gastrointestinal bleeding. Most cases are asymptomatic and require difficult surgical approaches even as endoscopic advancements have become available.
Case Presentation:
We describe the case of a 19-year-old female who suffered a massive lower gastrointestinal bleeding, was hemodynamically unstable and needed blood transfusions. We performed an intraoperative enteroscopy which revealed a jejunal Dieulafoy lesion and proceeded to surgically resect and repair it by anastomosis. There were no negative outcomes during the hospitalization.
Clinical Discussion:
Surgery is required in less than 5 % of such cases, when bleeding cannot be controlled by endoscopic approach, angiography or when these methods are not available.
Conclusion:
It is important to be aware of this lesion as a cause of gastrointestinal bleeding and differentiate it from other causes.
Related Concept Videos
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Peptic Ulcer
Peptic Ulcer Disease III: Clinical Manifestations and Complications
Inflammatory Bowel Disease I: Introduction
Inflammatory Bowel Disease IV: Clinical Manifestations

