Author, Subjects, Keywords

Cited Author

 
 
   » By Author or Editor
 » Browse Author by Alphabet
 » By Journal
 » By Subjects
 » Malaysian Journals
 » By Type
 » By Year
 » By Latest Additions
 
 
   » By Author
 » Top 20 Authors
 » Top 20 Article
 » Top Journal Cited
 » Top Article Cited
 » Journal Citation Statistics
 » Usage Since Sept 2007


 
 
 

Login | Create Account

Calibre Persistent Submucosal Artery of the Jejunum: A Rare Cause of Massive Gastrointestinal Bleeding

Wan Muhaizan W.M., and Julia, M.J., and Amin A.I, (2002) Calibre Persistent Submucosal Artery of the Jejunum: A Rare Cause of Massive Gastrointestinal Bleeding. Malaysian Journal of Pathology, 24 (2). pp. 113-116. ISSN 0126-8635

[img]
Preview
PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
143Kb

Official URL: http://www.mjpath.org.my/past_issue/MJP2002.2/calibre%20persistent%20submucosal%20artery%20of%20the%20jejunum.pdf

Affiliations

Universiti Kebangsaan Malaysia. Faculty of Medicine. Dept. of Pathology
Universiti Kebangsaan Malaysia, Faulty of Medicine. Dept. of Pathology
Universiti Kebangsaan Malaysia, Faculty of Mdicine. Dept. of Surgery

Abstract

Historically a calibre persistent submucosal artery was most often described in the stomach. However in later years it was also discovered in the duodenum and jejunum. It is an uncommon and important cause of massive gastrointestinal bleeding in which failure of detection and early intervention would lead to death. In this paper we report a 27-year-old man with no significant medical history who
presented at the emergency unit for recurrent melaena , haematochezia and hypotension. Initial investigations failed to localize the source of bleeding. Emergency exploratory laporatomy revealed a small jejunal mucosal nodule that was actively spurting blood. Histopathological evaluation identified a calibre persistent submucosal artery.

Item Type:Journal
Keywords:Persistent calibre submucosal artery, Dieulafoy's lesion, cirsoid aneurysm, exulceratio simplex
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:3865

1. Molner P, Miko T. Multiple arterial caliber persistence resulting in haematoma and fatal rupture of the gastric wall. Am J Surg Pathol 1982; 6: 83-6.

2. Miko TL . Pathology of the caliber persistent arteries in the alimentary tract. PhD Thesis, Debreceen, 1986.

3. MC Clave SA, Goldschmid S, Cunningham JT. Dieulafoy's cirsoid aneurysm of the duodenum. Dig Dis Sci 1988; 33: 801-5.

4. Vetto JT, Richman PS, Kaiger K, Passaro E. Cirsoid aneurysms of the jejunum. An unrecognized cause of massive gastrointestinal bleeding. Arch Surg 1989; 124: 1460-2.

5. Deutsch G, Hanly M, Yeh KA. Jejunal cirsoid aneurysm. A rare cause of massive lower gastrointestinal haemorrhage. Am Surg 1998; 64: 1179-8.

6. Levine J, Valk AD. Aneurysm with rupture of a submucosal artery in the jejunum. Case report. Am J Clin Pathol 1944; 44: 586-9.

7. Finkel LJ, Schwartz IS. Fatal haemorrhage from a gastric cirsoid aneurysm . Hum Pathol 1985; 16: 420-2.

8. Gallard T. Aneurysms miliaires de 1' estomac, donnant lieu a des hematemeses mortelles. Bull Soc Med Hosp Paris 1884; 1: 84-91.

9. Dieulafoy G. Exulceratio simplex. L' intervention chirurgicale dans les hematemeses foudroyantes consecutives a 1' ex- ulceration simplex de l'estomac. Bull Acad Med 1889; 39: 49-84.

10. Mortensen NJ, Mountford RA, Davies JD, Jeans WD. Dieulafoy's disease : a distinctive arteriovenous malformation causing massive gastric haemorrhage. Br J Surg 1983; 70: 76-8.

11. Margreiter R, Weimann S, Riedler L, Schwamberger KD. Exculceratio simplex Dieulafoy. Leber Magen Dam 1977; 7: 353-6.

12. Richter RM. Massive gastric haemorrhage from submucosal arterial malformation. Am J Gastroenterol 1975; 64: 324-6.

13. Okada M, Lida M, Fuchigami T, et al. Submucosal arterial malformation of the stomach diagnosed endoscopically. Gastrointest Endosc 1983; 29: 30-1.

14. Miko TL, Thomazy VA. The caliber persistent artery of the stomach: A unifying approach to gastric aneurysm, Dieulafoy's lesion and submucosal arterial malformation. Hum Pathol 1988; 19: 914-21.

15. Krasznai G, Szokoly V. Congenital vascular malformation ("caliber- persistence") as a pathogenic factor of lethal gastric haemorrhage. Acta Chir Acad Sci Hung 1968; 9: 137-42.

16. Antonie T. Arteriosclerosis of the arteries of the stomach. Med J Aus 1961; 48: 210-1.

17. Mallory T. Cirsoid aneurysm of the left gastric artery. N Engl J Med 1946; 235: 524-7.

18. Broberg A, Ihre T, Pyk E. et al. Exulceratio simplex as a conceivable cause of massive gastric haemorrhage. Surg Gynaecol Obstet 1982; 154: 186-8.

19. Strong RW. Dieulafoy 'S disease - a distinct clinical entity. Aust NZ J Surg 1984; 54: 337-9.

20. Juler GL, Labitzke HG, Lamb R. The pathogenesis of Dieulafoy's gastric erosion. Am J Gastroenterol 1984; 79: 195-200.

21. Streicher HJ. Massive gastrointestinal bleeding due to solitary simple gastric erosion (of Dieulafoy). Ger Med Mth 1966; 11: 448-52.

22. Rathmell TK, Hovwell RJ, Greeley JP. Congenital aneurysm of the jejunum producing fatal intestinal haemorrhage. Arch Pathol Lab Med 195 1 ; 5 1 : 46 1 -5.

23. Gough MH. Submucosal arterial malformation of the stomach as the probable cause of recurrent severe haemetemesis in a 16 year old girl. Br J Surg 1977;64:522-4.

24. Goldman RL . Submucosal arterial malformation ("aneurysm") of the stomach with fatal haemaorrhage. Gastroenterology 1964; 46: 589-94.

25. Hofman J, Beck H, Jensen HE. Dieulafoy's lesion. Surg Gynaecol Obstet 1984; 159: 537-40.

Repository Staff Only: item control page
 
 
 
 
 
 
© Copyright 2007 MyAIS Faculty of Computer Science and Information Technology, University of Malaya – All Rights Reserved. Malaysian Abstracting and Indexing System is powered by EPrints 3 which is developed by the School of Electronics and Computer Science at the University of Southampton. More information and software credits.