{"id":"https://openalex.org/W7204873829","doi":"https://doi.org/10.47191/ijmscrs/v6-i8-07","title":"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 \u2013 A Case Report","display_name":"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 \u2013 A Case Report","publication_year":2026,"publication_date":"2026-08-31","ids":{"openalex":"https://openalex.org/W7204873829","doi":"https://doi.org/10.47191/ijmscrs/v6-i8-07"},"language":"en","primary_location":{"id":"doi:10.47191/ijmscrs/v6-i8-07","doi":"https://doi.org/10.47191/ijmscrs/v6-i8-07","is_oa":true,"landing_page_url":"https://doi.org/10.47191/ijmscrs/v6-i8-07","pdf_url":"https://ijmscrs.com/index.php/ijmscrs/article/download/3011/2616","source":{"id":"https://openalex.org/S4210181273","display_name":"International Journal of Medical Science and Clinical Research Studies","issn_l":"2767-8326","issn":["2767-8326","2767-8342"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Science and Clinical Research Studies","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","datacite"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ijmscrs.com/index.php/ijmscrs/article/download/3011/2616","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113406852","display_name":"Min Nay Zar Wyke","orcid":"https://orcid.org/0009-0005-0986-1047","observed_orcids":["https://orcid.org/0009-0005-0986-1047"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Min Nay Zar Wyke","raw_affiliation_strings":["Senior Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Senior Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5128287507","display_name":"Min Htet San","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Min Htet San","raw_affiliation_strings":["Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117805243","display_name":"Kyaw Ye Naung Htun","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405267335","display_name":"Defence Services Medical Academy","ror":"https://ror.org/028v1cr38","country_code":"MM","type":"education","lineage":["https://openalex.org/I4405267335"]}],"countries":["MM"],"is_corresponding":false,"raw_author_name":"Kyaw Ye Naung Htun","raw_affiliation_strings":["Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","Rector and Senior Consultant Surgeon, Defence Services Medical Academy, Yangon, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]},{"raw_affiliation_string":"Rector and Senior Consultant Surgeon, Defence Services Medical Academy, Yangon, Myanmar","institution_ids":["https://openalex.org/I4405267335"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045865609","display_name":"Aung Ko Ko Linn","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Aung Ko Ko Linn","raw_affiliation_strings":["Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5128312333","display_name":"Kyaw Thu Linn","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kyaw Thu Linn","raw_affiliation_strings":["Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148130749","display_name":"Thein Maw Myint","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Thein Maw Myint","raw_affiliation_strings":["Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148159611","display_name":"Pyae Phyo Kyaw","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Pyae Phyo Kyaw","raw_affiliation_strings":["Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148073621","display_name":"Oakar Kyaw","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Oakar Kyaw","raw_affiliation_strings":["Senior Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Senior Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113696094","display_name":"Thant Lwyn San","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210112323","display_name":"Ministry of Health and Sports","ror":"https://ror.org/01xvefs70","country_code":"MM","type":"government","lineage":["https://openalex.org/I4210112323"]}],"countries":["MM"],"is_corresponding":false,"raw_author_name":"Thant Lwyn San","raw_affiliation_strings":["Senior Consultant Surgeon, Directorate of Medical Services, Nay Pyi Taw, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Senior Consultant Surgeon, Directorate of Medical Services, Nay Pyi Taw, Myanmar","institution_ids":["https://openalex.org/I4210112323"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062196140","display_name":"Khin Aung Htun","orcid":"https://orcid.org/0009-0001-0943-488X","observed_orcids":["https://orcid.org/0009-0001-0943-488X"]},"institutions":[{"id":"https://openalex.org/I4405267335","display_name":"Defence Services Medical Academy","ror":"https://ror.org/028v1cr38","country_code":"MM","type":"education","lineage":["https://openalex.org/I4405267335"]}],"countries":["MM"],"is_corresponding":false,"raw_author_name":"Khin Aung Htun","raw_affiliation_strings":["Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","Rector and Senior Consultant Surgeon, Defence Services Medical Academy, Yangon, Myanmar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Consultant Surgeon, No. (1) Military Hospital (700-Bedded), Pyin Oo Lwin, Myanmar","institution_ids":[]},{"raw_affiliation_string":"Rector and Senior Consultant Surgeon, Defence Services Medical Academy, Yangon, Myanmar","institution_ids":["https://openalex.org/I4405267335"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.65556121,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"06","issue":"08","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.9775000214576721,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.9775000214576721,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11267","display_name":"Abdominal Trauma and Injuries","score":0.012600000016391277,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11625","display_name":"Abdominal vascular conditions and treatments","score":0.004900000058114529,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dieulafoy-lesion","display_name":"Dieulafoy's lesion","score":0.9229999780654907},{"id":"https://openalex.org/keywords/postoperative-bleeding","display_name":"postoperative bleeding","score":0.6449999809265137},{"id":"https://openalex.org/keywords/intraoperative-enteroscopy","display_name":"intraoperative enteroscopy","score":0.9929999709129333},{"id":"https://openalex.org/keywords/hemorrhagic-shock","display_name":"hemorrhagic shock","score":0.6909999847412109},{"id":"https://openalex.org/keywords/loop-colostomy","display_name":"loop colostomy","score":0.7369999885559082},{"id":"https://openalex.org/keywords/ileal-resection","display_name":"ileal resection","score":0.7400000095367432},{"id":"https://openalex.org/keywords/granulation-tissue","display_name":"granulation tissue","score":0.6190000176429749}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9721999764442444},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7044000029563904},{"id":"https://openalex.org/C2778451229","wikidata":"https://www.wikidata.org/wiki/Q212809","display_name":"Endoscopy","level":2,"score":0.54339998960495},{"id":"https://openalex.org/C2780778865","wikidata":"https://www.wikidata.org/wiki/Q1130374","display_name":"Laparotomy","level":2,"score":0.527400016784668},{"id":"https://openalex.org/C8443397","wikidata":"https://www.wikidata.org/wiki/Q15177","display_name":"Anastomosis","level":2,"score":0.5195000171661377},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.48080000281333923},{"id":"https://openalex.org/C2778292851","wikidata":"https://www.wikidata.org/wiki/Q2562565","display_name":"Descending colon","level":3,"score":0.4634000062942505},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.4596000015735626},{"id":"https://openalex.org/C2780970106","wikidata":"https://www.wikidata.org/wiki/Q1408558","display_name":"Enteroscopy","level":3,"score":0.4580000042915344},{"id":"https://openalex.org/C2780913535","wikidata":"https://www.wikidata.org/wiki/Q2140674","display_name":"Gunshot wound","level":2,"score":0.4203999936580658},{"id":"https://openalex.org/C2778766689","wikidata":"https://www.wikidata.org/wiki/Q595453","display_name":"Colostomy","level":2,"score":0.38499999046325684},{"id":"https://openalex.org/C2777785015","wikidata":"https://www.wikidata.org/wiki/Q4950797","display_name":"Bowel resection","level":2,"score":0.37560001015663147},{"id":"https://openalex.org/C2777298740","wikidata":"https://www.wikidata.org/wiki/Q7162621","display_name":"Penetrating trauma","level":3,"score":0.3465000092983246},{"id":"https://openalex.org/C2777226302","wikidata":"https://www.wikidata.org/wiki/Q233345","display_name":"Ileum","level":2,"score":0.3411000072956085},{"id":"https://openalex.org/C131631996","wikidata":"https://www.wikidata.org/wiki/Q1141325","display_name":"Lumen (anatomy)","level":2,"score":0.3395000100135803},{"id":"https://openalex.org/C2777379000","wikidata":"https://www.wikidata.org/wiki/Q308292","display_name":"Abdominal trauma","level":3,"score":0.3181999921798706},{"id":"https://openalex.org/C2778866283","wikidata":"https://www.wikidata.org/wiki/Q3257565","display_name":"Endoscopic mucosal resection","level":3,"score":0.3052000105381012},{"id":"https://openalex.org/C2780833581","wikidata":"https://www.wikidata.org/wiki/Q2562556","display_name":"Ascending colon","level":2,"score":0.29339998960494995},{"id":"https://openalex.org/C2779787475","wikidata":"https://www.wikidata.org/wiki/Q16244733","display_name":"Bowel obstruction","level":2,"score":0.29249998927116394},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2903999984264374},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.2881999909877777},{"id":"https://openalex.org/C2779621457","wikidata":"https://www.wikidata.org/wiki/Q1068559","display_name":"Ileocecal valve","level":3,"score":0.28519999980926514},{"id":"https://openalex.org/C2778589496","wikidata":"https://www.wikidata.org/wiki/Q487937","display_name":"Hemostasis","level":2,"score":0.2840999960899353},{"id":"https://openalex.org/C2777589833","wikidata":"https://www.wikidata.org/wiki/Q7446275","display_name":"Segmental resection","level":3,"score":0.27300000190734863},{"id":"https://openalex.org/C2778080469","wikidata":"https://www.wikidata.org/wiki/Q1495657","display_name":"Gastrointestinal bleeding","level":2,"score":0.2718999981880188},{"id":"https://openalex.org/C2781190126","wikidata":"https://www.wikidata.org/wiki/Q2094686","display_name":"Damage control","level":2,"score":0.26589998602867126},{"id":"https://openalex.org/C2778773085","wikidata":"https://www.wikidata.org/wiki/Q1344645","display_name":"Ileostomy","level":2,"score":0.25130000710487366}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.47191/ijmscrs/v6-i8-07","doi":"https://doi.org/10.47191/ijmscrs/v6-i8-07","is_oa":true,"landing_page_url":"https://doi.org/10.47191/ijmscrs/v6-i8-07","pdf_url":"https://ijmscrs.com/index.php/ijmscrs/article/download/3011/2616","source":{"id":"https://openalex.org/S4210181273","display_name":"International Journal of Medical Science and Clinical Research Studies","issn_l":"2767-8326","issn":["2767-8326","2767-8342"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Science and Clinical Research Studies","raw_type":"journal-article"},{"id":"doi:10.5281/zenodo.22091731","doi":"https://doi.org/10.5281/zenodo.22091731","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.22091731","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"},{"id":"doi:10.5281/zenodo.22091732","doi":"https://doi.org/10.5281/zenodo.22091732","is_oa":true,"landing_page_url":"https://doi.org/10.5281/zenodo.22091732","pdf_url":null,"source":{"id":"https://openalex.org/S4306400562","display_name":"Zenodo (CERN European Organization for Nuclear Research)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I67311998","host_organization_name":"European Organization for Nuclear Research","host_organization_lineage":["https://openalex.org/I67311998"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"JournalArticle"}],"best_oa_location":{"id":"doi:10.47191/ijmscrs/v6-i8-07","doi":"https://doi.org/10.47191/ijmscrs/v6-i8-07","is_oa":true,"landing_page_url":"https://doi.org/10.47191/ijmscrs/v6-i8-07","pdf_url":"https://ijmscrs.com/index.php/ijmscrs/article/download/3011/2616","source":{"id":"https://openalex.org/S4210181273","display_name":"International Journal of Medical Science and Clinical Research Studies","issn_l":"2767-8326","issn":["2767-8326","2767-8342"],"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Science and Clinical Research Studies","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204873829.pdf","grobid_xml":"https://content.openalex.org/works/W7204873829.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2978002870","https://openalex.org/W2054623930","https://openalex.org/W4414542897","https://openalex.org/W2063673103","https://openalex.org/W7166335064","https://openalex.org/W2111501902","https://openalex.org/W2082573520","https://openalex.org/W4400146993","https://openalex.org/W4390812660","https://openalex.org/W7128803852"],"abstract_inverted_index":{"Background:":[0],"Penetrating":[1],"abdominal":[2,66,229],"gunshot":[3,67],"injuries":[4,10,25],"frequently":[5],"result":[6],"in":[7,120,222,245],"multiple":[8],"visceral":[9],"requiring":[11,79],"emergency":[12,80],"surgical":[13,258],"intervention.":[14],"Delayed":[15,215],"postoperative":[16,101,106,216],"intraluminal":[17],"hemorrhage":[18,114,218],"after":[19,208,228],"successful":[20,205],"repair":[21],"of":[22,90,196,210],"traumatic":[23],"bowel":[24,251],"is":[26,234],"exceptionally":[27],"uncommon,":[28],"particularly":[29],"when":[30,109,231],"the":[31,35,91,116,131,159],"bleeding":[32,132,227],"originates":[33],"from":[34],"distal":[36,211],"ileum":[37],"and":[38,48,74,88,126,193,202,242,256],"cannot":[39],"be":[40,220],"identified":[41],"by":[42],"conventional":[43,232],"endoscopic":[44],"evaluation.":[45],"Prompt":[46],"recognition":[47],"timely":[49],"intervention":[50],"are":[51],"crucial":[52],"to":[53,129,158],"prevent":[54],"catastrophic":[55],"hemorrhagic":[56,121],"shock.":[57,122],"Case":[58],"Presentation:":[59],"A":[60],"28-year-old":[61],"soldier":[62],"sustained":[63],"a":[64,96,140,145,239],"penetrating":[65],"injury":[68],"causing":[69],"two":[70],"complete":[71],"jejunal":[72,84],"transections":[73],"associated":[75,181],"descending":[76,93],"colonic":[77,212],"injury,":[78],"laparotomy":[81],"with":[82,136,165,182,224,248],"segmental":[83],"resection,":[85],"primary":[86,166],"anastomoses,":[87],"exteriorization":[89],"injured":[92],"colon":[94],"as":[95],"loop":[97,117],"colostomy.":[98],"The":[99,198],"initial":[100],"recovery":[102],"was":[103],"uneventful":[104],"until":[105],"day":[107],"10,":[108],"he":[110],"developed":[111],"sudden":[112],"massive":[113],"through":[115,139],"colostomy":[118,206],"resulting":[119],"Upper":[123],"gastrointestinal":[124,226],"endoscopy":[125,233],"colonoscopy":[127],"failed":[128],"identify":[130],"source.":[133],"Emergency":[134],"relaparotomy":[135],"intraoperative":[137],"enteroscopy":[138,237],"surgically":[141],"created":[142],"ileostomy":[143],"demonstrated":[144],"small":[146,250],"(approximately":[147],"4-5":[148],"mm),":[149],"actively":[150],"spurting":[151],"vascular":[152],"lesion":[153,177],"approximately":[154],"10":[155],"inches":[156],"proximal":[157],"ileocecal":[160],"valve.":[161],"Segmental":[162],"ileal":[163,175,217],"resection":[164],"anastomosis":[167],"achieved":[168],"definitive":[169,257],"hemostasis.":[170],"Histopathological":[171],"examination":[172],"confirmed":[173],"an":[174],"Dieulafoy":[176],"(calibre-persistent":[178],"submucosal":[179],"artery)":[180],"recent":[183],"hemorrhage,":[184],"granulation":[185],"tissue,":[186],"reactive":[187],"epithelial":[188],"mucosal":[189],"changes,":[190],"proliferating":[191],"capillaries,":[192],"no":[194],"evidence":[195],"malignancy.":[197],"patient":[199],"recovered":[200],"completely":[201],"subsequently":[203],"underwent":[204],"closure":[207],"confirmation":[209],"patency.":[213],"Conclusion:":[214],"should":[219],"considered":[221],"patients":[223,247],"persistent":[225],"trauma":[230],"inconclusive.":[235],"Intraoperative":[236],"remains":[238],"valuable":[240],"diagnostic":[241],"therapeutic":[243],"adjunct":[244],"selected":[246],"obscure":[249],"bleeding,":[252],"enabling":[253],"accurate":[254],"localization":[255],"management.":[259]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-02T00:00:00"}