Blecker D, Bansal M, Zimmerman R L, Fogt F, Lewis J, Stein R, Kochman M L
Department of Medicine, University of Pennsylvania Health System, Philadelphia 19104, USA.
Am J Gastroenterol. 2001 Mar;96(3):902-5. doi: 10.1111/j.1572-0241.2001.03641.x.
Dieulafoy's lesions are an often unrecognized cause of obscure, massive GI hemorrhage. Their diagnosis may elude conventional investigations, including upper and lower endoscopy, arteriography, and even laparotomy. In this paper, we report two cases of small-bowel Dieulafoy lesions. The first, a jejunal lesion, occurred in a young patient and was discovered at laparotomy. The second was an ileal Dieulafoy's malformation in an older patient. An intraoperative endoscopy with surgical guidance may be needed for definitive localization of this lesion.
Dieulafoy病是隐匿性大量胃肠道出血的一个常未被认识的病因。其诊断可能无法通过包括上、下消化道内镜检查、动脉造影术甚至剖腹探查在内的传统检查明确。在本文中，我们报告了两例小肠Dieulafoy病病例。第一例为空肠病变，发生在一名年轻患者身上，在剖腹探查时被发现。第二例为一名老年患者的回肠Dieulafoy畸形。对于该病变的明确定位可能需要在手术引导下进行术中内镜检查。
