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Selective angiography. Inadequate guide for surgery in bleeding colonic diverticula
Archives of Surgery (Chicago, Ill. : 1960)
|August 1, 1976
Summary
Severe bleeding from left colonic diverticula occurred 2.5 years after right colectomy for right-sided bleeding. Total colectomy with ileoproctostomy is recommended to prevent postoperative diverticular bleeding.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Colonic diverticula are common, and bleeding is a significant complication.
- Right-sided colectomy is sometimes performed for massive rectal bleeding.
Observation:
- A patient experienced severe left-sided colonic diverticular bleeding 2.5 years post-right colectomy.
- The initial bleeding was angiographically confirmed to originate from the right colon.
Findings:
- Left-sided diverticular bleeding can occur years after right colectomy.
- Angiographic localization of initial bleeding does not preclude subsequent bleeding from other colonic segments.
Implications:
- Total abdominal colectomy with ileoproctostomy may be the definitive surgical approach to prevent recurrent diverticular bleeding.
- Careful consideration of surgical extent is crucial for managing colonic diverticular hemorrhage.