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An exploratory laparotomy showed no obvious site of haemorrhage and a loop jejunostomy was performed. The diagnosis of gallstone-induced auto-sphincterotomy was only made, using gastroscope via jejunostomy, when a big gallstone was found in the third part of the duodenum and the papilla was ruptured ( figure 5).<\/jats:p>","DOI":"10.1136\/bcr-2012-006660","type":"journal-article","created":{"date-parts":[[2012,8,22]],"date-time":"2012-08-22T10:28:54Z","timestamp":1345631334000},"page":"bcr2012006660","source":"Crossref","is-referenced-by-count":0,"title":["Upper gastrointestinal bleeding: gallstone-induced auto-sphincterotomy"],"prefix":"10.1136","volume":"2012","author":[{"given":"Sujala","family":"Kalipershad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kin Tong","family":"Chung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernest","family":"Jehangir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,8,22]]},"reference":[{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2011-300186"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2010.228437"},{"issue":"Suppl 11","key":"2025042702560738000_2012.aug21_1.bcr2012006660.3","first-page":"A93","article-title":"Trends in mortality of non-variceal upper gastrointestinal haemorrhage in England: analysis of hospital admissions 1999 to 2005","volume":"558","author":"Crooks","year":"2009","journal-title":"Gut"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.4","first-page":"266","article-title":"Periampullary Dieulafoy's lesion: an unusual cause of gastrointestinal bleeding","volume":"11","author":"Rana","year":"2010","journal-title":"JOP"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.5","first-page":"641","article-title":"Jejunal Dieulafoy's lesion: case report and literature review","volume":"25","author":"Moreira-Pinto","year":"2009","journal-title":"Iatr Surg Int"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.6","first-page":"1553","article-title":"Life-threatening bleeding from duodenal varices due to pancreatic arterio-venous malformation: role of emergency pancreatoduodenectomy","volume":"55","author":"Perera","year":"2008","journal-title":"Hepatogastroenterology"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.7","doi-asserted-by":"publisher","DOI":"10.1007\/s13304-011-0064-9"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.8","first-page":"52","article-title":"Pyloric giant Brunner's gland hamartoma as a cause of both duodenojejunal intussusception and obscure gastrointestinal bleeding","volume":"20","author":"Bayan","year":"2009","journal-title":"Turk J Gastroenterology"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.9","first-page":"57","article-title":"Complicated duodeno-biliary fistula in bleeding duodenal ulcer: case report and literature review","volume":"79","author":"La Greca","year":"2008","journal-title":"Ann Ital Chir"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.10","first-page":"107","article-title":"Neurofibroma of the small intestine as a cause of massive bleeding from the gastrointestinal tract","volume":"58","author":"Mocny","year":"2001","journal-title":"Przegl Lek"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.11","doi-asserted-by":"publisher","DOI":"10.1007\/s100249910036"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1962.tb06321.x"},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.13","unstructured":"Varma MK Allen AW Sawyer MA . Upper Gastrointestinal Bleeding Imaging Medscape Reference. http:\/\/emedicine.medscape.com\/article\/417980-overview (accessed 18 July 2012)."},{"key":"2025042702560738000_2012.aug21_1.bcr2012006660.14","unstructured":"The Sign of the Four. Sherlock Holmes in The Sign of the Four (Doubleday p. 111) . Ch. 6, 1890."}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-006660","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:56:12Z","timestamp":1745747772000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-006660"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8,22]]},"references-count":14,"alternative-id":["10.1136\/bcr-2012-006660"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-006660","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,8,22]]}}}