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Minimal Resection of Jejuna Dieulafoy's Lesion Using an Intraoperative Fluoroscopic Localization of the Metallic Coils Used in Angiography / 대한소화기학회지
Article em En | WPRIM | ID: wpr-155808
Biblioteca responsável: WPRO
ABSTRACT
Dieulafoy's lesions of the Jejunum are extremely rare. Therefore, localization of lesions is very difficult due to their small size and tendency of occasional bleeding. However, it is important to mention the location of the Dieulafoy's lesions to prevent excessive intestinal resections or, even worse, resection of the normal intestine. We report a case of preoperative localization of a Dieulafoy's lesion embolized by a metallic coil that allows a surgeon to accurately identify the bleeding, permitting a minimally invasive surgical treatment. A 25-year-old man presented with massive hematochezia. There was no definite bleeding focus on the upper gastrointestinal endoscopy and colonoscopy. An angiography found a persistent extravasation of the contrast media at the end of straight artery of the mid-jejunal branch, around the terminal ileum, embolized with metallic coils immediately. The combination of embolized metallic coils and intraoperative fluoroscopy allowed accurate identification and minimal laparotomy. Consequently, a highly selective and minimal resection of the jejunum containing the dieulafoy lesion was possible without any postoperative complications.
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Texto completo: 1 Base de dados: WPRIM Assunto principal: Complicações Pós-Operatórias / Artérias / Angiografia / Fluoroscopia / Endoscopia Gastrointestinal / Colonoscopia / Meios de Contraste / Hemorragia / Hemorragia Gastrointestinal / Íleo Limite: Adult / Humans Idioma: En Revista: The Korean Journal of Gastroenterology Ano de publicação: 2017 Tipo de documento: Article
Texto completo: 1 Base de dados: WPRIM Assunto principal: Complicações Pós-Operatórias / Artérias / Angiografia / Fluoroscopia / Endoscopia Gastrointestinal / Colonoscopia / Meios de Contraste / Hemorragia / Hemorragia Gastrointestinal / Íleo Limite: Adult / Humans Idioma: En Revista: The Korean Journal of Gastroenterology Ano de publicação: 2017 Tipo de documento: Article