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Rare Jejunal Diverticular Bleeding.

Ayokunle T Abegunde1, Emily Christman1, Lewis A Hassell2

  • 1Section of Digestive Diseases and Nutrition, Department of Medicine, Oklahoma University Health Sciences Center, Oklahoma City, OK.

ACG Case Reports Journal
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Summary
This summary is machine-generated.

Severe gastrointestinal bleeding from jejunal diverticulosis is rare but dangerous. This case highlights diagnosis via push enteroscopy and successful surgical management for this uncommon condition.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Jejunal diverticulosis (JD) is a rare condition characterized by outpouchings in the jejunum.
  • Severe gastrointestinal bleeding (GIB) from JD is exceptionally uncommon, often leading to diagnostic delays.
  • GIB associated with JD carries substantial risks of morbidity and mortality.

Observation:

  • A patient presented with severe GIB attributed to jejunal diverticulosis.
  • Diagnostic challenges were encountered due to the rarity and presentation of the condition.

Findings:

  • Push enteroscopy enabled the precise diagnosis of jejunal diverticulosis as the source of GIB.
  • Surgical intervention was successfully employed for the management of the bleeding jejunal diverticula.

Implications:

  • This case underscores the utility of push enteroscopy in diagnosing obscure GIB.
  • Timely surgical management can be effective in controlling severe GIB from JD.
  • Increased awareness of JD as a cause of GIB is crucial for prompt diagnosis and improved patient outcomes.