title: Jejunal diverticula causing massive intestinal bleeding.
abstract: Small bowel diverticula are rare formations and some are prone to complications such as lower gastrointestinal bleeding. We report the case of a patient with hemorrhagic shock following upper gastrointestinal bleeding. A 39-year-old patient was admitted to the unit for recurrent bleeding. The patient received transfusions and selective arteriography was performed which reported bleeding at the level of the ileocolic artery. Laparatomy was performed and blood was found at the entire colon and small intestine up to 40 cm of Treitz angle where multiple diverticula were visualized. Bowel resection was performed. Although duodeno-jejunal diverticula are rare, a special attention should be paid to this clinical entity as it can be a cause of recurrent upper gastrointestinal bleeding.
authors.affiliation: General Surgery Department, University Hospital Vall d'Hebron, Barcelona, Spain. vilallongapuy@hotmail.com
authors.forename: R
authors.initials: R
authors.lastname: Vilallonga
authors.forename: J L
authors.initials: JL
authors.lastname: Sanchez Garcia
authors.forename: M
authors.initials: M
authors.lastname: Armengol
authors.forename: N
authors.initials: N
authors.lastname: Iordache
mesh_terms: D000328:Adult; D001803:Blood Transfusion; D003937:Diagnosis, Differential; D013505:Digestive System Surgical Procedures / Q000379:methods; D004240:Diverticulum / Q000150:complications / Q000601:surgery*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006488:Hemostasis, Surgical; D006801:Humans; D007579:Jejunal Diseases / Q000150:complications / Q000601:surgery*; D007813:Laparotomy; D008297:Male; D012771:Shock, Hemorrhagic / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome