Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Case Report Volume 3 Issue 6

Massive Gastrointestinal Bleeding Caused by a Jejunal Diverticula Multidisciplinary Approach

Elvira Vaillo Martin1*, Laura Millán Paredes1, Alberto Márquez Rodriguez2, Aitor Costales Sánchez3, Juan de Diego Gamarra1 and Andrea Rossetti1

1Surgery Department, Hospital Doctor Jose Molina Orosa, Lanzarote, Spain
2Gastroenterology Department, Hospital Doctor Jose Molina Orosa, Lanzarote, Spain
3Radiology Department, Hospital Doctor Jose Molina Orosa, Lanzarote, Spain

*Corresponding Author: Elvira Vaillo Martin, Surgery Department, Hospital Doctor Jose Molina Orosa, Lanzarote, Spain.

Received: April 21, 2020; Published: May 31, 2020

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Abstract

Jejunal diverticula are rare, with a prevalence rate of 0.3 - 4.6% on autopsy studies and 0.5 - 2.3% on radiologic studies [1]. It is a clinically silent disease, but complications may include perforation, bleeding, diverticulitis, or intestinal obstruction.

We present the case of a 76 years-old man with arterial hypertension and chronic ischemic cardiopathy; admitted at our emergency department for a massive digestive bleeding. Endoscopies did not identify the source. AngioCT-scan identify an active bleeding at the level of jejunum. A laparotomy with intra-operative enteroscopy permit to identify the jejunal diverticulum as the source of bleeding and an intestinal resection was performed.

Massive gastrointestinal hemorrhage is a rare complication of a jejunal diverticulum, we show in this case report the diagnostic process and an the multidisciplinary management.

Keywords: Diverticula; Jejunum; Gastrointestinal Bleeding; Surgery; Enteroscopy

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References

  1. Yan A., et al. “Massive obscure bleeding from a jejunal diverticulum (with video)”. Gastrointestinal Endoscopy 81.5 (2015): 1289-1290.
  2. Mantas D., et al. “Small intestine diverticula: Is there anything new?” World Journal of Gastrointestinal Surgery 3 (2011): 49-53.
  3. Gerson LB., et al. “ACG Clinical Guideline: Diagnosis and management of small bowel bleeding”. The American Journal of Gastroenterology 110.9 (2015): 1265-1287.
  4. Saperas E., et al. “Capsule endoscopy versus computed tomographic or standard angiography for the diagnosis of obscure gastrointestinal bleeding”. The American Journal of Gastroenterology 102.4 (2007): 731-737.
  5. Hayashi Y., et al. “Non-steroidal anti-inflammatory drug-induced small bowel injuries identified by double-balloon endoscopy”. World Journal of Gastroenterology 11.31 (2005): 4861-4864.
  6. Srinivasan A and De Cruz P. “Review article: A practical approach to the clinical management of NSAID enteropathy”. Scandinavian Journal of Gastroenterology 52.9 (2017): 941-947.
  7. Curcio G., et al. “Massive bleeding from a jejunal diverticulum reached and treated by underwater single-balloon enteroscopy”. Gastrointestinal Endoscopy 84.6 (2016): 1068-1069.
  8. Fernandes C., et al. “Argon plasma coagulation of a bleeding angioectasia in a jejunal diverticulum by single-balloon enteroscopy”. Endoscopy 47 (2015): E62.
  9. Ikeya T., et al. “Endoscopic band ligation for bleeding lesions in the small bowel”. World Journal of Gastrointestinal Endoscopy 6.10 (2014): 488-492.
  10. Donald JW. “Major complications of small bowel diverticula”. Annals of Surgery 190 (1979): 183-188.
  11. Falidas E., et al. “Multiple giant diverticula of the jejunum causing intestinal obstruction: Report of a case and review of the literature”. World Journal of Emergency Surgery 6 (2011): 1-9.
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Citation

Citation: Elvira Vaillo Martin., et al. “Massive Gastrointestinal Bleeding Caused by a Jejunal Diverticula Multidisciplinary Approach”. Acta Scientific Gastrointestinal Disorders 3.6 (2020): 26-28.



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