Massive gastrointestinal hemorrhage caused by rupture of a jejunal branch artery aneurysm.
Aneurysms located in the arterial tree that directly supplies the alimentary tract account for a small percentage of all aneurysms. Jejunal branch artery aneurysms are an uncommon component of this group, and gastrointestinal hemorrhage from such an aneurysm has rarely been described. We report a case of a jejunal branch artery aneurysm appearing as sudden and massive gastrointestinal bleeding in a 28-year-old man. Diagnosis was made by selective superior mesenteric artery angiography, and the patient underwent successful segmental resection of the involved area of jejunum. The pertinent literature is reviewed.
Diettrich
N A
NA
Department of Surgery, Columbus Hospital, Chicago, IL.
Cacioppo
J C
JC
Ying
D P
DP
D000328:Adult; D000783:Aneurysm / Q000150:complications*; D000792:Angiography; D001158:Arteries; D005119:Extravasation of Diagnostic and Therapeutic Materials; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D012422:Rupture, Spontaneous