jejunal dieulafoy lesion detected by intraoperative endoscopy in a child

Introduction: dieulafoy lesion is an unusual cause of gastrointestinal bleeding in which significant, and often recurrent, hemorrhage occurs from a pinpoint non-ulcerated arterial lesion. it is usually located in gastric fundus, and is extremely rare in children. case presentation: in this study, we present a male adolescent with jejunal dieulafoy lesion. the patient was admitted to the hospital due to hematochezia and hypotension. no active bleeders were identified on endoscopy, colonoscopy, and double-balloon enteroscopy. computed tomography angiography revealed active bleeders in jejunum. an intraoperative enteroscopy, using flexible endoscopy, revealed a jejunal dieulafoy lesion with spurting bleeding. the patient was successfully treated by bowel resection. conclusions: intraoperative endoscopy is a relatively efficient and safe modality for evaluating the bleeding dieulafoy lesion in the small intestine, and is essential for directing surgery.