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Jejunal diverticulosis and gastrointestinal bleeding.
H E Rodriguez1, M F Ziauddin, E D Quiros
1Department of Surgery, Catholic Health Partners, Chicago, Illinois, USA.
Journal of Clinical Gastroenterology
|October 19, 2001
Summary
Jejunal diverticula can cause recurrent massive gastrointestinal bleeding, often requiring surgery to identify the source. This condition highlights the diagnostic challenges of obscure gastrointestinal hemorrhage.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Occult gastrointestinal bleeding presents diagnostic challenges for clinicians.
- Small bowel hemorrhage sources are often identified during laparotomy.
Observation:
- Two patients experienced recurrent massive gastrointestinal hemorrhage.
- Jejunal diverticula were identified as the source of bleeding in both cases.
Findings:
- Jejunal diverticula, a less common cause, can lead to significant gastrointestinal hemorrhage.
- These diverticula represent a pulsion-type outpouching.
Implications:
- Highlights the importance of considering jejunal diverticula in obscure gastrointestinal bleeding.
- Suggests further investigation into the diagnostic and management strategies for jejunal diverticula.