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08:49
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Endoscopic hemostasis for hemorrhage from an ileal diverticulum
Masaya Iwamuro1, Mariko Hanada, Yoko Kominami
1Masaya Iwamuro, Department of Internal Medicine, Hiroshima City Hospital, Hiroshima 730-8518, Japan.
World Journal of Gastrointestinal Endoscopy
|August 24, 2011
Summary
Hemorrhage from jejunoileal diverticula is rare and challenging to diagnose. Computed tomography scans aided in identifying an ileal diverticulum as the bleeding source, enabling successful endoscopic hemostasis.
Area of Science:
- Gastroenterology
- Diagnostic Imaging
- Minimally Invasive Surgery
Background:
- Hemorrhage from non-Meckelian jejunoileal diverticula is an uncommon clinical presentation.
- Diagnosing the precise source of bleeding from these diverticula often poses significant challenges.
- Ileal diverticular bleeding requires prompt and accurate diagnostic and therapeutic interventions.
Purpose of the Study:
- To report a rare case of hemorrhage originating from an ileal diverticulum.
- To highlight the diagnostic utility of contrast-enhanced computed tomography (CT) scans.
- To discuss the successful endoscopic management of jejunoileal diverticular bleeding.
Main Methods:
- A 59-year-old male presented with gastrointestinal bleeding.
- Contrast-enhanced computed tomography (CT) scans were utilized for diagnosis.
- Endoscopic mechanical hemostasis using metal clips was performed during colonoscopy.
Main Results:
- Contrast CT scans successfully identified an ileal diverticulum as the source of hemorrhage.
- Extravasation of contrast medium around the diverticulum confirmed active bleeding.
- Endoscopic clipping achieved successful hemostasis, resolving the bleeding episode.
Conclusions:
- Computed tomography is a valuable tool for diagnosing hemorrhage from jejunoileal diverticula.
- Endoscopic mechanical hemostasis is a feasible and effective treatment option.
- Timely diagnosis and intervention are crucial for managing this rare condition.
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