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
Jejunal diverticula are rare, with a prevalence rate of 0.3 - 4.6% on autopsy studies and 0.5 - 2.3% on radiologic studies . 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
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.
Copyright: © 2020 Elvira Vaillo Martin., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.