Open AccessDIEULAFOY’S LESION OF JEJUNUM PRESENTING AS AN OBSCURE GASTROINTESTINAL BLEEDING: A CASE REPORT
Author(s) -
Yeshika Thapa,
Sijan Poudyal
Publication year - 2021
Publication title -
journal of chitwan medical college
Language(s) - English
Resource type - Journals
ISSN - 2091-2412
DOI - 10.54530/jcmc.458
Subject(s) - medicine , colonoscopy , pallor , enteroscopy , hematochezia , lesion , endoscopy , gastrointestinal bleeding , double balloon enteroscopy , surgery , angiography , jejunum , radiology , colorectal cancer , cancer
Obscure gastrointestinal bleeding has been designated as bleeding of unknown origin that persist or recurs after a negative initial or primary endoscopy (colonoscopy and upper endoscopy). We present a case of 16 years old male who was admitted at our hospital with presentation of black tarry hard foul-smelling stool associated with weakness, dizziness and loss of consciousness for 10-15 minutes. Physical examination showing pallor. Upper GI Endoscopy, colonoscopy and double balloon Enteroscopy (DBE) failed to find out the cause of bleeding whereas, CT angiography shows a prominent submucosal vessel with blush of contrast enhancement seen at mid-jejunum and suggestive of a Dieulafoy’s lesion. As the lesion was not identified properly during both anterograde and retrograde Double Balloon Enteroscopy we decided to go for the conservative management and treated the patient on close monitoring.