Case Report
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Pathophysiol. Aug 15, 2016; 7(3): 296-299
Published online Aug 15, 2016. doi: 10.4291/wjgp.v7.i3.296
Culprit for recurrent acute gastrointestinal massive bleeding: “Small bowel Dieulafoy’s lesions” - a case report and literature review
Anjana Sathyamurthy, Jessica N Winn, Jamal A Ibdah, Veysel Tahan
Anjana Sathyamurthy, Jessica N Winn, Jamal A Ibdah, Veysel Tahan, Division of Gastroenterology and Hepatology, University of Missouri, Columbia, MO 65201, United States
Author contributions: All authors contributed to the acquisition of data, writing, and revision of this manuscript.
Institutional review board statement: This case report was approved by the Institutional Review Board of University of Missouri-Columbia. IRB #2004644.
Informed consent statement: The patient was consented and we got our institutional Review Board approval at University of Missouri-Columbia.
Conflict-of-interest statement: All the authors have no conflicts of interests to declare.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Veysel Tahan, MD, Assistant Professor, Division of Gastroenterology and Hepatology, University of Missouri, 1 Hospital Dr, Columbia, MO 65201, United States. tahanv@health.missouri.edu
Telephone: +1-573-8846044 Fax: +1-573-8844595
Received: March 24, 2016
Peer-review started: March 24, 2016
First decision: May 16, 2016
Revised: June 2, 2016
Accepted: July 14, 2016
Article in press: July 18, 2016
Published online: August 15, 2016
Core Tip

Core tip: Small bowel Dieulafoy’s lesion is a rare entity that can cause severe life threatening gastrointestinal hemorrhage. It is difficult to diagnose and treat a small bowel Dieulafoy’s lesion by initial endoscopy unlike most gastric Dieulafoy’s lesions. We report a rare presentation of small bowel Dieulafoy’s lesions in a 63-year-old male. The hemorrhage was successfully controlled by epinephrine injection and clip applications. We also reviewed small bowel Dieulafoy’s lesion studies and reports in the literature.