64 year old male with complicated past medical history significant for coronary artery disease on apixaban and clopidogrel, coronary artery bypass grafting, and end stage renal disease on dialysis who presented as transfer to our facility for recurring symptoms of anemia, fatigue, and hematochezia. In the 3 months prior to transfer, patient had multiple admissions to outlying facilities for similar symptoms, and had undergone an otherwise negative bleeding work-up consisting of multiple colonoscopies, upper endoscopies, and tagged red cell scans. He was also transfused a total of 14 units packed red blood cells and 1 unit platelets during this time. Shortly after transfer, patient underwent repeat colonoscopy, tagged red cell scan, video capsule endoscopy, CT enterography, and single balloon enteroscopy. The tagged red scan and capsule endoscopy suggested a small bowel source. Patient ultimately underwent laparoscopically assisted small bowel enteroscopy, which showed a fresh clot adherent to a small bowel Dieulafoy Lesion. This was rendered hemostatic with endoscopic argon plasma coagulation. In this video, we show our technique for performing laparoscopically assisted small bowel enteroscopy via a small bowel enterotomy. We also briefly cover the history, endoscopic diagnostic criteria, and suggested treatment for Dieulafoy Lesions.