Massive Gastrointestinal Bleeding Caused by Multiple Small Intestinal Diverticula: A Case Study
DOI:
https://doi.org/10.22516/25007440.944Keywords:
Gastrointestinal bleeding, Diverticulosis, Jejunum, IleumAbstract
We report the case of a 71-year-old woman with multiple comorbidities who was admitted to the hospital due to hematochezia, without hemodynamic instability. Initial investigations, including colonoscopy and upper endoscopy, did not reveal the cause of bleeding. However, the patient experienced increased bleeding, anemia, and hemodynamic instability during her hospital stay. Subsequent selective angiography did not show any signs of active bleeding. In light of the persistent shock, surgical intervention was performed, which revealed blood originating from multiple diverticula in the jejunum.
Downloads
References
Chiong-Hee W, I-Tsung L, Shou-Chuan S. Jejunal diverticular causing unusual massive lower gastrointestinal bleeding. International Journal of Gerontology 2008; 2(3): 120-123. https://doi.org/10.1016/S1873-9598(08)70049-8
El-Haddawi F, Civil I. Acquired jejunoileal diverticular disease: a diagnostic and management challenge. ANZ J Surg 2003; 73: 584-9. https://doi.org/10.1046/j.1445-2197.2003.02709.x
Rodriguez HE, Ziauddin MF, Quiros ED, Brown AM, Podbielski FJ. Jejunal diverticulosis and gastrointestinal bleeding. J Clin Gastroenterol 2001; 33: 412-4. https://doi.org/10.1097/00004836-200111000-00014
Ríos A, Montoya MJ, Rodríguez JM, Parrilla P. Acute lower gastrointestinal hemorrhage originating in the small intestine. Rev Esp Enferm Dig 2006; 98: 196-203. https://doi.org/10.4321/S1130-01082006000300006
Tisnado J, Konerding KF, Beachley MC, Mendez-Picon G. Angiographic diagnosis of a bleeding jejunal diverticu- lum. Gastrointest Radiol 1979; 4: 291-3. https://doi.org/10.1007/BF01887540
Yen HH, Chen YY, Soon MS. Nonsteroidal anti- inflammatory drug-associated ileal ulcers: an evaluation by double-balloon enteroscopy. Gastrointest Endosc 2006; 63: 328. https://doi.org/10.1016/j.gie.2005.06.063
Fortun PJ, Hawkey CJ. Nonsteroidal antiinflammatory drugs and the small intestine. Curr Opin Gastroenterol 2005; 21: 169-75.
https://doi.org/10.1097/01.mog.0000153314.51198.58
Prough H, Jaffe S, Jones B. Jejunal diverticulitis. Journal of Surgical Case Reports (Internet). 2019 Jan 1;2019. Available from:https://academic.oup.com/jscr/article/doi/10.1093/jscr/rjz005/5304858 https://doi.org/10.1093/jscr/rjz005
Yaqub S, Evensen Bv., Kjellevord K. Massive rectal bleeding from acquired jejunal diverticula.Word Journal of Emergency Surgery. 2011 May 13;6. https://doi.org/10.1186/1749-7922-6-17
Rangan V, Lamont JT. Small Bowel Diverticulosis: Pathogenesis, Clinical Management, and New Concepts. Vol. 22, Current Gastroenterology Reports. Springer; 2020. https://doi.org/10.1007/s11894-019-0741-2
Barkun AN, Douketis J, Noseworthy PA, Laine L, Telford JJ, Abraham NS. Management of Patients on Anticoagulants and Antiplatelets during Acute Gastrointestinal Bleeding and the Peri-Endoscopic Period: A Clinical Practice Guideline Dissemination Tool. American Journal of Gastroenterology

Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Revista colombiana de Gastroenterología

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
Los autores/as ceden sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación en esta revista.
Los contenidos están protegidos bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.

Article metrics | |
---|---|
Abstract views | |
Galley vies | |
PDF Views | |
HTML views | |
Other views |