Gastrointestinal Bleeding Due to a Dieulafoy Lesion in the Afferent Limb of a Billroth II Reconstruction
Dieulafoy lesions, a rare cause of gastrointestinal hemorrhage, are caliber-persistent submucosal arteries without surrounding ulcers or mucosal lesions. Dieulafoy lesions rarely bleed profusely and may be missed during diagnostic endoscopy. Most of these lesions are located in the stomach; they have been reported only rarely in other parts of the gastrointestinal tract, including the small bowel. We report a case of gastrointestinal hemorrhage secondary to a Dieulafoy lesion in the afferent limb of a Billroth II gastric bypass.
Eddi R, Shah N, Depasquale JR. Gastrointestinal Bleeding Due to a Dieulafoy Lesion in the Afferent Limb of a Billroth II Reconstruction. Gastroenterology & Hepatology. 2011;7(4):268-271.