Jejunal Dieulafoy's Lesion: An Exceptionally Rare and Challenging Culprit of Gastrointestinal Bleeding

Abstract Text A 78-year-old male presented with fatigue and melena, necessitating blood transfusion. His medical history was unremarkable. Initial endoscopies were inconclusive, prompting a capsule endoscopy that revealed an active bleeding site in the jejunum. Device-assisted enteroscopy confirmed a mid-jejunum Dieulafoy's lesion, initially managed with two through-the-scope clips. Ongoing melena and decreasing hemoglobin led to a subsequent device-assisted enteroscopy, revealing continued bleeding. Definitive hemostasis was achieved through diluted adrenaline injection, four additional through-the-scope clips, and polidocanol sclerotherapy. With just over a hundred reported cases of jejunal Dieulafoy's lesions, our experience underscores the essential role of capsule endoscopy followed by purposeful multimodal therapeutic intervention through device-assisted enteroscopy. [1]

Conflicts of interest

Authors do not have any conflict of interest to disclose.

• References

• 1 Malik A, Inayat F, Goraya MHN. et al. Jejunal Dieulafoy’s Lesion: A Systematic Review of Evaluation, Diagnosis, and Management J Investig Med High Impact Case Rep. 2021; 9 2324709620987703.

Publication History

Article published online:
15 April 2024