Hemorrhage from a Dieulafoy-Erosion Ulcer of The Ileum -A Case Report-

Nobuhisa Nakajima, Masato Nakayama, Tomoyuki Takagi and Eisuke Nagabuchi

Department of Surgery, Wakkanai Municipal Hospital

The number of Dieulafoy-erosion gastric ulcers reported has recently increased, although this ulcer of the small intestine is very rare. We treated a patient of bleeding from a Dieulafoy-erosion ileal ulcer. A 87-year-old man was admitted to our hospital with melena. Scintigraphy (^99mTc-RBC) showed an accumulation in the right lower quadrant. Emergency surgery was conducted, and intraoperative endoscopy identified the bleeding point, and we undertook spindle resection of the ileum. Pathologic examination revealed charactaristic features of a Dieulafoy-erosion. Only 8 such cases in the small intestine have been reported worldwide, to our knowledge.

Key words
Dieulafoy-erosion ulcer, small intestinel bleeding, intraoperative endoscopy

Reprint requests
Nobuhisa Nakajima Department of Surgery, Sapporo Social Insulance General Hospital 2-6 Atsubetsu-Chuo, Atsubetsu-ku, Sapporo, 004-8618 JAPAN

Accepted
September 19, 2001

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