Jejunal Dieulafoy-Like Lesion Mimicking Submucosal Tumor, Report of a Case Kyoko Fukawa 1,2 , Satoshi Nimura 3 , Hiroshi Matsuzaka 1 , Kenichi Nishijima 1 , Kayoko Nakano 1 , Takafumi Yamada 1 , Tomohito Chaen 1 , Miyuki Kaneki 1 , Norimoto Nakamura 1 , Yoshiharu Chijiiwa 1 , Yoshiro Chijiiwa 4 , Toru Eguchi 4 , Nobuyoshi Takizawa 5 , Shinji Kouno 6 , Kazuhiko Nakamura 2 1Department of Internal Medicine, Gastroenterology, Harasansin Hospital, Fukuoka, Japan 2The Department of Medicine and Bioregulatory Science, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan 3Department of Pathology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan 4Department of Gastroenterology Surgery, Harasansin Hospital, Fukuoka, Japan 5The Departments of Anatomic Pathology, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan 6Department of Pathology, Harasansin Hospital, Fukuoka, Japan Keyword: 小腸出血 , 小腸カプセル内視鏡 , 血管性病変 , Dieulafoy's lesion , 粘膜下腫瘤 pp.1745-1751
Published Date 2015/12/25
DOI https://doi.org/10.11477/mf.1403200500
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 A 20-year-old female was sent to hospital after two severe episodes of intestinal blood discharge. Capsule endoscopy revealed a white elevation and bleeding in the jejunum, and the patient was diagnosed with small bowel hemorrhage. Subsequently, a SMT(submucosal tumor)was recognized with double balloon endoscopy and X-ray fluoroscopic examination of the jejunum. Small bowel segmental dissection was performed for further investigation. Based on the pathology, we diagnosed the patient with a Dieulafoy-like lesion. Significant improvement of small intestine inspection has recently resulted in a number of Dieulafoy-like lesions being reported. This case clearly indicates the need to contemplate Dieulafoy-like lesions as a differential diagnosis to SMT in cases of repetitive bleeding.

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