Massive Gastrointestinal Bleeding due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options

Gastroenterology Insights

Michael Lisi¹  M.Carolina Jimenez¹  Cynthia Abbasi² 

[1] Division of General Surgery, University of Toronto, Toronto, ON M5S, Canada;Townsville University Hospital, Douglas, QLD 481, Australia;

关键词: diverticulosis;    diverticulitis;    jejunum;    computed tomography;    endoscopy;    pediatric colon scope;   

DOI  :  10.3390/gastroent12020017

来源: DOAJ

【 摘 要 】

Small bowel diverticula are rare and often asymptomatic. Severe lower gastrointestinal bleeding from jejunal diverticula is rarely reported and, therefore, should be considered a differential diagnosis in all cases of lower gastrointestinal bleeding with nonconclusive gastroscopy and colonoscopy. In this case report, we discuss a case of a 75-year-old male with massive lower gastrointestinal bleeding from jejunal diverticula. Initial gastroscopy did not reveal the source of bleeding. Repeat upper endoscopy with a pediatric colonoscope identified jejunal diverticula as the likely source of bleeding. Angiography identified the site of extravasation, and successful angioembolization was done by interventional radiology.

【 授权许可】

Unknown