AI Article Synopsis
- Two patients experienced severe gastrointestinal bleeding caused by small vascular lesions in the small intestine.
- The diagnosis was made using intra-operative enteroscopy; one case occurred during a laparotomy despite previous negative tests, and the other 48 hours after ileo-colic resection for Crohn's disease.
- These cases highlight the effectiveness of intra-operative enteroscopy in identifying sources of small intestinal bleeding when other methods fail.
Article Abstract
Two cases of severe, recurrent gastrointestinal bleeding due to a small vascular lesion of the small intestine are presented. In the two patients, the diagnosis was established by intra-operative enteroscopy; in the first patient during laparotomy carried out after negative preoperative investigations; in the second, 48 hours after a right ileo-colic resection was performed for Crohn's disease of the ileum thought to be the cause of the bleeding. These two cases confirm that intra-operative enteroscopy is a very effective method to detect bleeding from small intestinal lesions, and that it should be used when pre-operative investigations and intraoperative examination are unsuccessful.
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