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Related Experiment Videos

Massive rectal bleeding from jejunal diverticula.

R D Wilcox1, C H Shatney

  • 1Department of Surgery, University of Florida, College of Medicine, University Hospital, Jacksonville.

Surgery, Gynecology & Obstetrics
|November 1, 1987
PubMed
Summary
This summary is machine-generated.

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Jejunal diverticula can cause significant rectal bleeding, especially in older adults. Surgical removal of affected jejunum is recommended for patients with bleeding, even if the source isn't initially clear.

Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Jejunal diverticula are uncommon but can lead to serious gastrointestinal bleeding.
  • Rectal bleeding is a common symptom that can have various causes.

Observation:

  • Four elderly patients presented with extensive rectal bleeding attributed to jejunal diverticula over a decade.
  • Diagnostic imaging like bleeding scans and mesenteric arteriography aided in localizing the bleeding source.
  • Exploratory laparotomy was necessary in three cases to identify jejunal diverticula as the cause of hemorrhage.

Findings:

  • Three patients underwent successful jejunal resection, achieving complete resolution of bleeding.
  • One patient with a jejunal diverticulum treated non-operatively via mesenteric arteriography remained asymptomatic and later died of unrelated causes.

Related Experiment Videos

  • Jejunal diverticula were identified as a significant, potentially underestimated cause of severe rectal bleeding in the elderly population.

    • Implications:

    • Jejunal diverticula should be considered in the differential diagnosis of unexplained rectal bleeding, particularly in older individuals.
    • Surgical intervention (jejunectomy) is effective in managing bleeding from jejunal diverticula.
    • Even in cases where preoperative evaluation suggests other bleeding sources, jejunal diverticula should be suspected and addressed if found during surgery.