JEJUNAL BLEEDING FROM A SOLITARY LARGE SUB-MUCOSAL ARTERY - REPORT OF 2 CASES

  • 1 January 1978
    • journal article
    • research article
    • Vol. 75  (1) , 110-113
Abstract
Young patients (2) with massive intestinal bleeding resulting from a solitary submucosal arterial abnormality of the jejunum are reported. In one case, the bleeding lesion was localized only by emergency abdominal angiography, while a previous exploratory laparotomy proved negative. The vascular lesion encountered in both patients consisted of a wide caliber artery lying in the jejunal submucosa; there was no evidence of true aneurysm on serial sections. The clinicopathological picture closely resembles that of lesions previously described in the stomach under the name of gastric submucosal aneurysms in the English literature, or of gastric Dieulafoy''s erosion in the French literature. The vascular lesions reported should be called solitary large submucosal artery or Dieulafoy-like erosion of the jejunum.

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