Keywords
Small-bowel bleeding
small-bowel angioectasia
video capsule endoscopy
balloon-assisted enteroscopy
endoscopic treatment
small-bowel angioectasia
video capsule endoscopy
balloon-assisted enteroscopy
endoscopic treatment
How to Cite
Zhu, L., Wang, Z.- wen, Huang, Z.- quan, & Hu, Y. (2021). Challenging Diagnosis and Endoscopic Management of Dieulafoy’s Lesion−Induced Small-Bowel Bleeding: A Case Report. Puerto Rico Health Sciences Journal, 40(1), 56–58. Retrieved from https://prhsj.rcm.upr.edu/index.php/prhsj/article/view/2231
Abstract
Small-bowel bleeding is a relatively uncommon event of gastrointestinal bleeding. Some causes of small-bowel bleeding, such as vascular lesions, are still challenging to confirm, despite the use of various diagnostic modalities (e.g., capsule endoscopy, deep enteroscopy, and radiographic imaging). Vascular lesion−induced bleeding tends to be insidious and intermittent, but sometimes it can be massive and fatal, so that the timing of an endoscopy is critical. We describe herein the case of an elderly female patient with Dieulafoy’s lesion−induced small-bowel bleeding presenting with recurrent melena. In this article, we describe how the cause of her bleeding was found and how the bleeding was stopped endoscopically. Finally, we discuss the characteristics of a small-bowel Dieulafoy’s lesion and its endoscopic treatment.
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