{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:48:25Z","timestamp":1772639305246,"version":"3.50.1"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T00:00:00Z","timestamp":1746835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Jejunal Dieulafoy lesions is a rare cause of gastrointestinal bleeding. Most cases are asymptomatic and require difficult surgical approaches even as endoscopic advancements have become available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We describe the case of a 19-year-old female who suffered a massive lower gastrointestinal bleeding, was hemodynamically unstable and needed blood transfusions. We performed an intraoperative enteroscopy which revealed a jejunal Dieulafoy lesion and proceeded to surgically resect and repair it by anastomosis. There were no negative outcomes during the hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Surgery is required in less than 5 % of such cases, when bleeding cannot be controlled by endoscopic approach, angiography or when these methods are not available.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It is important to be aware of this lesion as a cause of gastrointestinal bleeding and differentiate it from other causes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111431","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T07:50:22Z","timestamp":1747122622000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Massive gastrointestinal bleeding due to a Dieulafoy jejunal lesion: a case report"],"prefix":"10.1097","volume":"131","author":[{"given":"Roberto Jos\u00e9","family":"Gonz\u00e1lez Zambrana","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katerin Yaritza","family":"Hern\u00e1ndez Reyes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marion Jos\u00e9","family":"Valladares","sequence":"additional","affiliation":[{"name":"Medicine Faculty, Universidad Nacional Aut\u00f3noma de Nicaragua, Central Park 175 mts North, C.P. 2100 Le\u00f3n, Nicaragua"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cristian Geovanny","family":"Pereira Santana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"Suppl. 4","key":"R1-111-20260304","article-title":"Non-variceal upper gastrointestinal haemorrhage: guidelines","volume":"51","author":"Palmer","year":"2002","journal-title":"Gut"},{"issue":"7","key":"R2-111-20260304","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1308\/003588410X12699663905311","article-title":"Dieulafoy's lesion: current trends in diagnosis and management","volume":"92","author":"Baxter","year":"2010","journal-title":"Ann. 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Pathol"},{"issue":"2","key":"R10-111-20260304","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/S1072-7515(02)01801-X","article-title":"Dieulafoy's disease","volume":"196","author":"Chaer","year":"2003","journal-title":"J. Am. Coll. Surg"},{"key":"R11-111-20260304","first-page":"1","article-title":"Jejunal Dieulafoy's lesion: a systematic review of evaluation, diagnosis, and management","volume":"9","author":"Malik","year":"2021","journal-title":"J. Investigat. Med. High Impact Case Rep"},{"issue":"3-4","key":"R12-111-20260304","doi-asserted-by":"crossref","first-page":"201","DOI":"10.14740\/gr671w","article-title":"The diagnostic dilemma of Dieulafoy's lesion","volume":"8","author":"Khan","year":"2015","journal-title":"Gastroenterol. 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