Case report

intraoperative enteroscopy in the diagnosis of a case of gastrointestinal bleeding

Abstract

The article in question describes a clinical case of gastrointestinal bleeding originating from the small intestine, a condition that requires challenging diagnostic strategies, especially in patients within the public healthcare system. The case report details the patient’s clinical presentation and the complementary diagnostic sequence involved in elucidating the condition, employing intraoperative enteroscopy to identify the probable site of bleeding for a definitive surgical approach. During the surgical procedure, the surgeons were able to perform an assessment that few emergency centers would allow, by mobilizing the digestive endoscopy and digestive surgery team for the intraoperative enteroscopy. The objective of the case report is to provide a detailed description of a specific clinical case, demonstrating the clinical presentation, diagnosis, treatment, and progression of this condition, with emphasis on the diagnostic challenge for adequate treatment. Finally, the final considerations, the results were analyzed in light of the medical literature and discussed in terms of diagnosis, therapeutic management, and specific challenges encountered during the patient’s treatment.