{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T20:28:23Z","timestamp":1782764903745,"version":"3.54.5"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"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":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>A Dieulafoy\u2019s lesion in the jejunum is at an uncommon site but may be the cause of massive gastrointestinal bleeding. It is characterized by a large, tortuous submucosal artery that erodes the overlying epithelium and presents diagnostic and therapeutic challenges due to its atypical location and presentation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case<\/jats:title>\n                <jats:p>A 30-year-old male presented with sudden onset syncope and the passage of 200\u2013300\u00a0ml of red blood-mixed stool. With no major comorbidities, he had hypotension with a blood pressure of 80\/50\u00a0mmHg, necessitating immediate transfusion of three units of packed red blood cells (PRBCs). Initial endoscopic evaluations, including an UGI endoscopy and colonoscopy, failed to locate the bleeding source. CT angiography identified an active bleed from the first jejunal branch leading to coil embolization. Persistent symptoms prompted capsule endoscopy, revealing angioectasia in the proximal jejunum. Despite haemoclip application and a total of 11 units of blood transfused, his symptoms persisted. He then underwent laparoscopic resection of the jejunal segment containing the polyp, followed by extracorporeal jejuno-jejunal anastomosis. Histopathology confirmed a benign polyp with central ulceration, consistent with a Dieulafoy\u2019s lesion.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Advanced diagnostic techniques like CT angiography and capsule endoscopy played a pivotal role in localizing the bleeding source. Surgical intervention proved curative when less invasive methods failed. The patient\u2019s postoperative course was uneventful, highlighting the efficacy of a multidisciplinary approach. A high index of suspicion and a multidisciplinary approach are essential for successful outcomes.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-02064-9","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T02:57:54Z","timestamp":1732244274000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sudden-onset gastrointestinal bleeding in a young adult: diagnostic and therapeutic challenges of a Dieulafoy\u2019s lesion in the jejunum"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2148-9058","authenticated-orcid":false,"given":"Shikhar","family":"Tripathi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Narayanagowda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri Aurobindo Prasad","family":"Das","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunila","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samiran","family":"Nundy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"2064_CR1","volume":"10","author":"ME Kalantari","year":"2022","unstructured":"Kalantari ME, Sardarzadeh N, Mirsadeghi A, Bagherzadeh AA, Zandbaf T. Jejunal Dieulafoy\u2019s lesion as a rare cause of massive gastrointestinal bleeding; a case report and literature review. Arch Acad Emerg Med. 2022;10: e61.","journal-title":"Arch Acad Emerg Med"},{"key":"2064_CR2","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1016\/j.ijscr.2020.06.098","volume":"72","author":"M Yehya","year":"2020","unstructured":"Yehya M, Mayovska O, Flick A, Moszczynski Z. A Jejunal Dieulafoy lesion: rare case necessitating surgical intervention. Int J Surg Case Rep. 2020;72:541\u20135.","journal-title":"Int J Surg Case Rep"},{"key":"2064_CR3","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000026229","volume":"100","author":"M Wang","year":"2021","unstructured":"Wang M, Cao H, Dai J, Chen S, Xu L, Li S. Jejunal Dieulafoy lesion with intraintestinal calcification on computerized tomography: a case report. 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J Investig Med High Impact Case Rep. 2021;9:2324709620987703.","journal-title":"J Investig Med High Impact Case Rep"},{"key":"2064_CR6","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1080\/20009666.2020.1742521","volume":"10","author":"O Oladunjoye","year":"2020","unstructured":"Oladunjoye O, Oladunjoye A, Slater L, Jehangir A. Dieulafoy lesion in the jejunum: a rare cause of massive gastrointestinal bleeding. J Community Hosp Intern Med Perspect. 2020;10:138\u20139.","journal-title":"J Community Hosp Intern Med Perspect"},{"key":"2064_CR7","doi-asserted-by":"publisher","first-page":"112","DOI":"10.5946\/ce.2015.48.2.112","volume":"48","author":"HK Jeon","year":"2015","unstructured":"Jeon HK, Kim GH. Endoscopic management of Dieulafoy\u2019s lesion. Clin Endosc. 2015;48:112\u201320.","journal-title":"Clin Endosc"},{"key":"2064_CR8","volume":"11","author":"F Yal\u00e7in","year":"2021","unstructured":"Yal\u00e7in F, Yal\u00e7in H, Abraham R, Abraham TP. Hemodynamic stress and microscopic remodeling. Int J Cardiol Cardiovasc Risk Prev. 2021;11: 200115.","journal-title":"Int J Cardiol Cardiovasc Risk Prev"},{"key":"2064_CR9","unstructured":"Arackal A, Alsayouri K. Histology, heart. In: StatPearls. Treasure Island (FL): StatPearls publishing; 2024. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK545143\/#. Accessed 2 Jan 2023."},{"key":"2064_CR10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.109166","volume":"114","author":"S Atri","year":"2024","unstructured":"Atri S, Hammami M, Ouadi Y, Sebai A, Chaker Y, Kacem M. Dieulafoy\u2019s lesion: is there still a place for surgery? About 2 cases. Int J Surg Case Rep. 2024;114: 109166.","journal-title":"Int J Surg Case Rep"},{"key":"2064_CR11","volume":"12","author":"RC Chakinala","year":"2020","unstructured":"Chakinala RC, Solanki S, Haq KF, Singh J, Shah H, Solanki D, et al. Dieulafoy\u2019s lesion: decade-long trends in hospitalizations, demographic disparity, and outcomes. 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Ann R Coll Surg Engl. 2010;92:548\u201354.","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02064-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-02064-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-02064-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T03:03:59Z","timestamp":1732244639000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-02064-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,22]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2064"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-02064-9","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,22]]},"assertion":[{"value":"20 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 November 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 November 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Ethical approval is not needed as no human experimentation\/testing was involved. This is a case report based on retrospective data, collected prospectively, independently by our department. Patient consented for participation.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Patient consented for publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"269"}}