Yonsei Med J.  2005 Jun;46(3):445-447. 10.3349/ymj.2005.46.3.445.

Dieulafoy's Lesion of Jejunum: Presenting Small Bowel Mass and Stricture

• Kim JK
• Jo BJ
• Lee KM
• Sun JS
• Won JH
• Kim MW
• Han JH

• KMID: 1734083
• DOI: http://doi.org/10.3349/ymj.2005.46.3.445

Abstract

Dieulafoy's lesion is an uncommon cause of gastrointestinal bleeding. Hemorrhage occurs through mucosal erosion from an abnormally dilated submucosal artery. Although Dieulafoy's lesion is usually located in the stomach, it may occur anywhere in the gastrointestinal tract. We report here on a case of jejunal Dieulafoy's lesion presenting as a mass and short segment stricture on CT and enteroclysis.

Keyword

Dieulafoy's lesion; jejunum; CT; enteroclysis

MeSH Terms

Adult
Arteriovenous Malformations/*pathology
Diagnosis, Differential
Gastrointestinal Hemorrhage/*pathology
Humans
Jejunal Diseases/*pathology
Jejunum/blood supply/pathology
Male

Figure

• 

  Fig. 1 CT scan shows a mass (arrows) in the lumen of the jejunum with subtle contrast enhancement. Minimal bowel dilation is also seen proximal to the jejunal mass.

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  Fig. 2 Enteroclysis reveals a short segment of jejunal stricture (arrow) with central ulceration.

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  Fig. 3 Microphotograph of the ulcerative lesion shows a large caliber persistent submucosal artery protruding through a mucosal defect (hematoxylin and eosin stain, 40 ×).

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