Massive Gastrointestinal Bleeding Due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options
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...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Gastroenterology Insights |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2036-7422/12/2/17 |
| _version_ | 1797536680874344448 |
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| author | Cynthia Abbasi M. Carolina Jimenez Michael Lisi |
| author_facet | Cynthia Abbasi M. Carolina Jimenez Michael Lisi |
| author_sort | Cynthia Abbasi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T12:04:12Z |
| format | Article |
| id | doaj.art-d64714b67a584bb7ad07904165929941 |
| institution | Directory Open Access Journal |
| issn | 2036-7414 2036-7422 |
| language | English |
| last_indexed | 2024-03-10T12:04:12Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Gastroenterology Insights |
| spelling | doaj.art-d64714b67a584bb7ad079041659299412023-11-21T16:45:49ZengMDPI AGGastroenterology Insights2036-74142036-74222021-04-0112219620110.3390/gastroent12020017Massive Gastrointestinal Bleeding Due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic OptionsCynthia Abbasi0M. Carolina Jimenez1Michael Lisi2Townsville University Hospital, Douglas, QLD 4814, AustraliaDivision of General Surgery, University of Toronto, Toronto, ON M5S 1A1, CanadaDivision of General Surgery, University of Toronto, Toronto, ON M5S 1A1, CanadaSmall 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.https://www.mdpi.com/2036-7422/12/2/17diverticulosisdiverticulitisjejunumcomputed tomographyendoscopypediatric colon scope |
| spellingShingle | Cynthia Abbasi M. Carolina Jimenez Michael Lisi Massive Gastrointestinal Bleeding Due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options Gastroenterology Insights diverticulosis diverticulitis jejunum computed tomography endoscopy pediatric colon scope |
| title | Massive Gastrointestinal Bleeding Due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options |
| title_full | Massive Gastrointestinal Bleeding Due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options |
| title_fullStr | Massive Gastrointestinal Bleeding Due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options |
| title_full_unstemmed | Massive Gastrointestinal Bleeding Due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options |
| title_short | Massive Gastrointestinal Bleeding Due to Jejunal Diverticula in a Community Hospital: A Case Report and Review of Diagnostic and Therapeutic Options |
| title_sort | massive gastrointestinal bleeding due to jejunal diverticula in a community hospital a case report and review of diagnostic and therapeutic options |
| topic | diverticulosis diverticulitis jejunum computed tomography endoscopy pediatric colon scope |
| url | https://www.mdpi.com/2036-7422/12/2/17 |
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