Case report: gastrointestinal haemorrhage from jejunal diverticulosis, probably induced by low dose aspirin.
A 66-year-old female, who had been taking low dose aspirin for approximately 6 months, was admitted to hospital with severe gastrointestinal bleeding. The source of bleeding could not be demonstrated despite gastroscopy, mesenteric angiography and 99mTc-labelled red blood cell scanning. Mesenteric angiography was repeated, demonstrating a site of bleeding in the proximal small intestine. Laparotomy revealed blood-filled jejunal diverticulosis. Resection of the affected segment resulted in cessation of haemorrhage and the patient remains well in follow up. The present report illustrates a rare cause of gastrointestinal haemorrhage, the possible role of aspirin in causation and the difficulty in diagnosis of bleeding from jejunal diverticulosis.
Gastroenterology Unit, Canberra Hospital, Garran, ACT, Australia.
S P
SP
Kaushik
J M
JM
D'Rozario
G
G
Chong
M L
ML
Bassett
D000368:Aged; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000008:administration & dosage / Q000009:adverse effects*; D001241:Aspirin / Q000008:administration & dosage / Q000009:adverse effects*; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced* / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery
D000894:Anti-Inflammatory Agents, Non-Steroidal; D001241:Aspirin