Unusual cause of upper gastrointestinal bleeding

Area of Science:

• Gastroenterology
• Minimally Invasive Diagnostics

Background:

• Recurrent severe upper gastrointestinal bleeding presents diagnostic challenges.
• Identifying elusive bleeding sources requires advanced endoscopic techniques.

Observation:

• A patient experienced persistent upper gastrointestinal bleeding.
• Standard investigations failed to pinpoint the bleeding origin.
• Videocapsule endoscopy was employed for diagnosis.

Findings:

• Videocapsule endoscopy identified an ulcerated lipoma within an intussuscepted segment of the jejunum.
• This rare cause of gastrointestinal bleeding was successfully diagnosed.

Implications:

• Capsule endoscopy is invaluable for diagnosing obscure gastrointestinal bleeding.
• Jejunal lipomas, though rare, can precipitate severe gastrointestinal hemorrhage.
• Surgical intervention confirmed the diagnosis and achieved hemostasis.