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Dieulafoy lesion in the ileum of a child: a case report

Authors
Journal
Journal of Pediatric Surgery
0022-3468
Publisher
Elsevier
Volume
46
Issue
5
Identifiers
DOI: 10.1016/j.jpedsurg.2011.01.028
Keywords
  • Dieulafoy Lesion
  • Ileum
  • Dynamic Computed Tomography Scan
  • Selective Arteriography
Disciplines
  • Biology
  • Medicine

Abstract

Abstract A 14-year-old girl had massive bleeding from a Dieulafoy lesion of the ileum. A preoperative dynamic computed tomography scan detected the point of bleeding. Selective arteriography with embolization using microcoils could not stop the bleeding, but the microcoils were useful as markers of the location of the bleeding point. The position of the microcoils was confirmed by intraoperative fluoroscopy. A partial resection of the ileum that included the lesion was performed. The pathologic finding was Dieulafoy lesion of the ileum. Dieulafoy lesion is a rare condition that usually presents in the stomach. Dieulafoy lesion of the ileum is extraordinarily rare, and to our knowledge, this is only the second case report of an ileal lesion in a child.

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