title: Surgery for a gastric Dieulafoy's lesion reveals an occult bleeding jejunal diverticulum. A case report.
abstract: BACKGROUND
  Jejunal diverticulosis is an uncommon disease and usually asymptomatic. It can be complicated not only by diverticulitis, but by hemorrhage, perforation, intussusception, volvulus, malabsorption and even small bowel obstruction due to enteroliths formed and expelled from these diverticula.
  
  
  METHODS
  We describe a case of an occult bleeding jejunal diverticulum, casually discovered in a patient that was taken to surgery for a Dieulafoy's lesion after unsuccessful endoscopic treatment. We performed a gastric resection together with an ileocecal resection.Macroscopic and microscopic examinations confirmed the gastric Dieulafoy's lesion and demonstrated the presence of another source of occult bleeding in asymptomatic jejunal diverticulum.
  
  
  CONCLUSIONS
  The current case emphasizes that some gastrointestinal bleeding lesions, although rare, can be multiple and result in potentially life-threatening bleeding. The clinician must be mindful to the possibility of multisite lesions and to the correlation between results of the investigations and clinical condition of the bleeding patient.
authors.affiliation: Gastroenterology and Endoscopy Unit, T Campanella Oncological Foundation, Catanzaro, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Orlando
authors.forename: I M
authors.initials: IM
authors.lastname: Luppino
authors.forename: R
authors.initials: R
authors.lastname: Gervasi
authors.forename: M A
authors.initials: MA
authors.lastname: Lerose
authors.forename: B
authors.initials: B
authors.lastname: Amato
authors.forename: R
authors.initials: R
authors.lastname: Spagnuolo
authors.forename: R
authors.initials: R
authors.lastname: Marasco
authors.forename: P
authors.initials: P
authors.lastname: Doldo
authors.forename: A
authors.initials: A
authors.lastname: Puzziello
mesh_terms: D000368:Aged; D001160:Arterioles / Q000002:abnormalities; D004240:Diverticulum / Q000150:complications / Q000175:diagnosis*; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D033162:Incidental Findings; D007579:Jejunal Diseases / Q000150:complications / Q000175:diagnosis*; D008297:Male; D013270:Stomach / Q000098:blood supply* / Q000473:pathology / Q000601:surgery; D054079:Vascular Malformations / Q000150:complications / Q000601:surgery*