台灣外科醫學會雜誌

中文 | ENG

	第58卷第2期 2025-3 Predatory publisher and low standard journal: An emerging problem in clinical surgery field
.........................
	第58卷第2期 2025-3 Conflict of interest in clinical surgery: Contemporary concern in digital era
.........................
	第58卷第2期 2025-3 Postpublication redecision and pitfalls of inadequate standards in scientific surgical journals: Important consideration in academic publication
.........................
	第58卷第2期 2025-3 Spontaneous bilateral basal ganglia hemorrhage
.........................
	第58卷第2期 2025-3 Academic characterization of the Formosan Journal of Surgery: A five-year bibliometric analysis
.........................
	第58卷第2期 2025-3 Supra-sternal reconstruction for a high-hanging fruit like right subclavian artery aneurysm
.........................
	第58卷第2期 2025-3 Operations for choledochal cysts: A 25-year experience at a tertiary care center in India
.........................
	第58卷第2期 2025-3 A case report: Can a titanised polypropylene mesh (TiMesh) obviate a dual mesh for sandwich technique for parastomal hernias?
.........................
	第58卷第2期 2025-3 Recurrent gallstone ileus, a deadly encounter: A case report
.........................
	第58卷第2期 2025-3 The changes in dietary intake and tolerance for Chinese food after bariatric surgery in Taiwan
.........................
	第58卷第2期 2025-3 Diagnostic value of trans-recto-perineal ultrasound in perianal fistula—preoperative versus intraoperative findings: A comparative cross-section study
.........................
	第58卷第2期 2025-3 Efficacy and safety of extended-release dinalbuphine sebacate for postoperative analgesia: A systematic review and meta-analysis
.........................
	第58卷第2期 2025-3 Dynamic changes in segmented neutrophil-to-monocyte ratio in trauma patients with stress-induced hyperglycemia: A retrospective study
.........................
	第58卷第1期 2025-1 Ensuring authorship qualification in clinical research articles: A focus on surgical therapy studies
.........................
	第58卷第1期 2025-1 Estimated risk for transfusion of monkeypox contaminated perioperative blood transfusion: A call to action for stronger regulations and testing protocols
.........................
	第58卷第1期 2025-1 Insights into traumatic and crisis surgery: Implications of data analysis in conflict zones
.........................
	第58卷第1期 2025-1 Tongue peeling as an adverse reaction with use of micronized purified flavonoid: A case report
.........................
	第58卷第1期 2025-1 Pilonidal sinus of scrotum: A rare clinical entity
.........................
	第58卷第1期 2025-1 Incidental autopsy finding of retiform hemangioendothelioma of the spleen
.........................
	第58卷第1期 2025-1 Retroperitoneal laparoscopy for hydronephrosis due to multiple fibroepithelial polyps: A case series
.........................

登入帳號才能閱讀全文

篇名	Dieulafoy's Lesion in Second Portion of the Duodenum with Massive Bleeding
作者	Wen-Hsiang Chien, Sen-Ei Shai, Cheng-Chung Wu
卷期/出版年月	37卷6期 (2004/12)
頁次	276-280
摘要	Dieulafoy s lesion consists of an abnormally large submucosal artery often found in the stomach that tends to be acute, recurrent, and can lead to massive hemorrhage. Reported cases occurring in second portion of the duodenum are quite rare. We report a patient who developed melena 7 days after thoracoscopic operation due to secondary pneumothorax despite persistent H2-blocker IV injection since admission. Endoscopy revealed only stigmata with fresh blood streaming over the second portion of the duodenum near the ampula of Vater. Temporary hemostasis was performed by a local injection of epinephrine solution (1:10000). Emergent laparotomy was undertaken due to recurrent bleeding with unstable blood pressure six hours later. Further endoscopy failed because of massive blood clots impacted in the lower esophagus and whole stomach. Oversewn suture ligation of the bleeder by duodenotomy successfully treated the patient. The patient was discharged in stable condition and follow-up at 8 months revealed no further bleeding. The difficulties in diagnosis of the lesion and treatment options are discussed.
關鍵詞	Dieulafoy s lesion, second portion of the duodenum
分類	Case Report