What does this research mean for the field?

Intraoperative enteroscopy is an effective diagnostic and therapeutic adjunct for localizing and managing obscure small bowel bleeding, such as delayed postoperative ileal hemorrhage, when conventional endoscopy is inconclusive. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Describe the clinical presentation, intraoperative diagnostic approach, and surgical management of delayed massive ileal hemorrhage caused by a rare small bowel Dieulafoy lesion following abdominal gunshot trauma.

August 27, 2026International Journal of Medical Science and Clinical Research StudiesOpen Access

Delayed Massive Postoperative Ileal Hemorrhage from an Ileal Dieulafoy Lesion Following Penetrating Abdominal Gunshot Injury: Successful Diagnosis of Obscure Small Bowel Bleeding by Intraoperative Enteroscopy – A Case Report

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Authors

MWMin Nay Zar Wyke*Military Hospital MSMin Htet SanLivestock Breeding and Veterinary Department KHKyaw Ye Naung HtunMyanmar Oxford Clinical Research Unit

Discussion

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Implication

Case report demonstrates successful localization of a bleeding ileal Dieulafoy lesion via intraoperative enteroscopy after trauma, highlighting its utility for obscure small bowel bleeding.

Key Points

Describe the clinical presentation, intraoperative diagnostic approach, and surgical management of delayed massive ileal hemorrhage caused by a rare small bowel Dieulafoy lesion following abdominal gunshot trauma.
Evaluated a 28-year-old male presenting with delayed massive stomal bleeding and hemorrhagic shock on postoperative day 10 after emergency laparotomy for abdominal gunshot wounds.
Conducted diagnostic upper endoscopy, colonoscopy, and emergency relaparotomy with intraoperative enteroscopy via a surgically created ileostomy.
Standard upper gastrointestinal endoscopy and colonoscopy failed to identify the source of active hemorrhage.
Intraoperative enteroscopy located an actively spurting 4-5 mm vascular lesion approximately 10 inches proximal to the ileocecal valve.
Definitive hemostasis was achieved via segmental ileal resection and primary anastomosis, with histopathology confirming an ileal Dieulafoy lesion.

Cite This Study

Wyke* et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe9b910c91c1e9262188e https://doi.org/10.5281/zenodo.22091731

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August 27, 2026International Journal of Medical Science and Clinical Research StudiesOpen Access

Delayed Massive Postoperative Ileal Hemorrhage from an Ileal Dieulafoy Lesion Following Penetrating Abdominal Gunshot Injury: Successful Diagnosis of Obscure Small Bowel Bleeding by Intraoperative Enteroscopy – A Case Report

View Full Paper

Ask AI

Bookmark

Authors

MWMin Nay Zar Wyke*Military Hospital MSMin Htet SanLivestock Breeding and Veterinary Department KHKyaw Ye Naung HtunMyanmar Oxford Clinical Research Unit

Discussion

Member takes

Implication

Case report demonstrates successful localization of a bleeding ileal Dieulafoy lesion via intraoperative enteroscopy after trauma, highlighting its utility for obscure small bowel bleeding.

Key Points

Describe the clinical presentation, intraoperative diagnostic approach, and surgical management of delayed massive ileal hemorrhage caused by a rare small bowel Dieulafoy lesion following abdominal gunshot trauma.
Evaluated a 28-year-old male presenting with delayed massive stomal bleeding and hemorrhagic shock on postoperative day 10 after emergency laparotomy for abdominal gunshot wounds.
Conducted diagnostic upper endoscopy, colonoscopy, and emergency relaparotomy with intraoperative enteroscopy via a surgically created ileostomy.
Standard upper gastrointestinal endoscopy and colonoscopy failed to identify the source of active hemorrhage.
Intraoperative enteroscopy located an actively spurting 4-5 mm vascular lesion approximately 10 inches proximal to the ileocecal valve.
Definitive hemostasis was achieved via segmental ileal resection and primary anastomosis, with histopathology confirming an ileal Dieulafoy lesion.

Cite This Study

Wyke* et al. (2026) studied this question.

synapsesocial.com/papers/6a8fe9b910c91c1e9262188e https://doi.org/10.5281/zenodo.22091731

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