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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

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Massive upper gastrointestinal bleed from epiphrenic diverticulum.

Cesar J Garcia¹, Ajoy Dias, Reza A Hejazi

¹Department of Medicine, Texas Tech University Health Sciences Center, El Paso, Texas 79905, USA.

The American Journal of the Medical Sciences

|March 18, 2011

Summary

This summary is machine-generated.

Epiphrenic diverticula, esophageal outpouchings, can cause significant upper gastrointestinal bleeding. This case highlights their potential as a serious cause of bleeding, even in elderly patients with prior dysphagia.

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Area of Science:

Gastroenterology
Esophageal Diseases
Digestive System Disorders

Background:

Epiphrenic diverticula are rare outpouchings of the distal esophagus.
They can present with symptoms like dysphagia and vomiting.
Bleeding from these diverticula is an uncommon but serious complication.

Observation:

An elderly female patient with a history of dysphagia presented with a massive upper gastrointestinal bleed.
Endoscopy revealed a bleeding epiphrenic diverticulum as the source of hemorrhage.
The patient's bleeding was successfully managed conservatively.

Findings:

Bleeding epiphrenic diverticula are a potential cause of severe upper gastrointestinal hemorrhage.
Conservative management can be effective in controlling bleeding from epiphrenic diverticula.
Prompt endoscopic evaluation is crucial for diagnosing the source of bleeding.

Implications:

Clinicians should consider epiphrenic diverticula in the differential diagnosis of obscure or massive upper gastrointestinal bleeding.
Early endoscopic identification and appropriate management are vital for patient outcomes.
Further research into the pathogenesis and optimal treatment strategies for bleeding epiphrenic diverticula is warranted.