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Pernicious Pouch of Problems: A Challenging Case of Massive Hemorrhage Secondary to Jejunal Diverticular Bleeding
Tyler J Reed1, Sarah K Zimmer1, Nicholas T Nelson2
1Internal Medicine, Naval Medical Center Portsmouth, Portsmouth, USA.
Abstract:
Small bowel (SB) diverticulosis is an uncommon diagnosis and a rare cause of gastrointestinal (GI) bleeding. A particularly rare form of SB diverticular disease, jejunal diverticulosis, is usually discovered due to complications, such as hemorrhage, obstruction, or perforation. Owing in part to its rarity, jejunal diverticular bleeding can be difficult to identify and treat, resulting in increased morbidity and mortality. Here, we present the case of a 57-year-old female with recurrent massive GI hemorrhage from a jejunal diverticular vessel that was ultimately diagnosed and successfully managed endoscopically.
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