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Related Experiment Videos

Acquired ileal diverticulum: an unusual bleeding source.

A Matsumoto1, O Saitoh, H Matsumoto

  • 1Second Department of Internal Medicine, Osaka Medical College, Takatsuki, Japan.

Journal of Gastroenterology
|February 19, 2000
PubMed
Summary
This summary is machine-generated.

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Acquired ileal diverticulum can cause massive gastrointestinal bleeding. Selective visceral angiography is crucial for diagnosing this rare condition when other endoscopic methods fail.

Area of Science:

  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Acquired ileal diverticulum is a rare cause of gastrointestinal bleeding.
  • Diagnosis can be challenging, especially with massive hemorrhage.

Observation:

  • Two cases of massive bleeding from small (less than 1 cm) ileal diverticula are presented.
  • Initial upper and lower endoscopy failed to identify the bleeding source.

Findings:

  • Selective visceral angiography successfully localized the bleeding lesions in the terminal ileum.
  • Surgical resection confirmed the ileal diverticula as the source of bleeding.

Implications:

  • Ileal diverticulum should be considered in cases of obscure gastrointestinal bleeding.
  • Selective visceral angiography is a valuable tool for diagnosing bleeding ileal diverticula.

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