{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T08:43:42Z","timestamp":1768985022636,"version":"3.49.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Dieulafoy\u2019s lesion, first found by Paul Georges Dieulafoy, is an infrequent but important cause of recurrent upper gastrointestinal bleeding. The bleeding is usually severe, but patients rarely present with chronic, occult gastrointestinal bleeding.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>In this article, we discuss the case of a 68-year-old caucasian man with a history of recurrent hematemesis and chronic anemia with evidence of extravasation of contrast in the lumen of the bowel loop on computed tomography angiography. The patient was taken to the operating room, and a laparotomy procedure was performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Due to the infrequency of Dieulafoy\u2019s lesion compared with other causes of gastrointestinal bleeding, it is often missed in the process of differential diagnosis. In this article, we have demonstrated the importance of this disease and different approaches to the treatment of this lesion, considering the location of the lesion among other factors.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-03121-9","type":"journal-article","created":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:03:08Z","timestamp":1635811388000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Chronic gastrointestinal bleeding caused by a Dieulafoy\u2019s lesion in the\u00a0small intestine: a case report"],"prefix":"10.1186","volume":"15","author":[{"given":"Javad","family":"Salimi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamad","family":"Behzadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza","family":"Ramandi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehdi","family":"Jafarinia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Zand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Pirouzian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"key":"3121_CR1","unstructured":"Dieulafoy G. Clinique m\u00e9dicale de l'H\u00f4tel-Dieu de Paris: Masson; 1898."},{"key":"3121_CR2","unstructured":"Sabiston D. Sabiston textbook of surgery, 21st Edition, Chapter 49, p. 1235. Townsend C, editor: Elsevier; 2021."},{"issue":"2","key":"3121_CR3","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1016\/S1072-7515(02)01801-X","volume":"196","author":"RA Chaer","year":"2003","unstructured":"Chaer RA, Helton WS. Dieulafoy\u2019s disease. J Am Coll Surg. 2003;196(2):290\u20136.","journal-title":"J Am Coll Surg"},{"issue":"3","key":"3121_CR4","first-page":"266","volume":"11","author":"SS Rana","year":"2010","unstructured":"Rana SS, Bhasin DK, Gupta R, Yadav TD, Gupta V, Singh K. Periampullary Dieulafoy\u2019s lesion: an unusual cause of gastrointestinal bleeding. JOP J Pancreas. 2010;11(3):266\u20139.","journal-title":"JOP J Pancreas."},{"issue":"2","key":"3121_CR5","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1136\/gut.27.2.213","volume":"27","author":"SV Van Zanten","year":"1986","unstructured":"Van Zanten SV, Bartelsman J, Schipper M, Tytgat G. Recurrent massive haematemesis from Dieulafoy vascular malformations\u2014a review of 101 cases. Gut. 1986;27(2):213.","journal-title":"Gut"},{"issue":"10","key":"3121_CR6","first-page":"766","volume":"87","author":"WA Goins","year":"1995","unstructured":"Goins WA, Chatman DM, Kaviani MJ. Massive lower gastrointestinal bleeding due to \u201cDieulafoy\u2019s vascular malformation\u201d of the jejunum: case report. J Natl Med Assoc. 1995;87(10):766.","journal-title":"J Natl Med Assoc"},{"issue":"7","key":"3121_CR7","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1308\/003588410X12699663905311","volume":"92","author":"M Baxter","year":"2010","unstructured":"Baxter M, Aly E. Dieulafoy\u2019s lesion: current trends in diagnosis and management. Ann R Coll Surg Engl. 2010;92(7):548\u201354.","journal-title":"Ann R Coll Surg Engl"},{"issue":"3","key":"3121_CR8","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1007\/s10620-006-9468-7","volume":"52","author":"J Akhras","year":"2007","unstructured":"Akhras J, Patel P, Tobi M. Dieulafoy\u2019s lesion-like bleeding: an underrecognized cause of upper gastrointestinal hemorrhage in patients with advanced liver disease. Dig Dis Sci. 2007;52(3):722\u20136.","journal-title":"Dig Dis Sci"},{"issue":"1","key":"3121_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13256-016-1083-4","volume":"10","author":"T Emura","year":"2016","unstructured":"Emura T, Hosoda K, Harai S, Oyachi N, Suzuki T, Takada K, et\u00a0al. Dieulafoy lesion in a two-year-old boy: a case report. J Med Case Rep. 2016;10(1):1\u20134.","journal-title":"J Med Case Rep"},{"issue":"10","key":"3121_CR10","doi-asserted-by":"publisher","first-page":"3009","DOI":"10.1111\/j.1572-0241.2000.03233.x","volume":"95","author":"MS Madhira","year":"2000","unstructured":"Madhira MS, Tobi M. Isolated gastrointestinal spider nevi: potential clinical significance. Am J Gastroenterol. 2000;95(10):3009.","journal-title":"Am J Gastroenterol"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-03121-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-03121-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-03121-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:03:53Z","timestamp":1635811433000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-03121-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,2]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["3121"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-03121-9","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,2]]},"assertion":[{"value":"27 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 September 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 November 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"545"}}