title: Upper G.I. hemorrhage from glass fragments' ingestion in a patient with jejunal diverticula - Case report.
abstract: BACKGROUND
  Acute upper gastrointestinal bleeding is a common emergency. The ingestion of foreign bodies represents a less frequent cause of bleeding, but it is equally life-threatening, especially if the patient does not report the incident.
  
  
  METHODS
  We are reporting the case of a 77-year-old patient with a bleeding caused by ingestion of glass fragments with co-existing jejunal diverticula.
  
  
  CONCLUSIONS
  The ingestion of foreign bodies is a rare, mostly accidental event. Another possible source of upper G.I. bleeding is jejunal diverticula; in this case, the examination of the specimens showed evidence of glass ingestion fragments as the likely cause of bleeding.
  
  
  CONCLUSIONS
  Surgeons should be aware that patients may fail to report correctly on the possible causes of bleeding, misleading the diagnosis, and delaying the diagnostic routes.
authors.affiliation: Department of Surgery and Translational Medicine, University of Florence, Largo Brambilla 3, 50134 Florence Italy. Electronic address: rgattai@unifi.it.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Gattai
authors.affiliation: Department of Surgery and Translational Medicine, University of Florence, Largo Brambilla 3, 50134 Florence Italy. Electronic address: desire.pantalone@unifi.it.
authors.forename: Desire'
authors.initials: D
authors.lastname: Pantalone
authors.affiliation: Anestesiology and Emergency and Trauma Intensive Care Unit, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy. Electronic address: migliaccioml@aou-careggi.toscana.it.
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Migliaccio
authors.affiliation: Anestesiology and Emergency and Trauma Intensive Care Unit, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy. Electronic address: bonizzolim@aou-careggi.toscana.it.
authors.forename: Manuela
authors.initials: M
authors.lastname: Bonizzoli
authors.affiliation: Anestesiology and Emergency and Trauma Intensive Care Unit, Azienda Ospedaliero-Universitaria Careggi, Largo Brambilla 3, 50134 Florence, Italy. Electronic address: perisa@aou-careggi.toscana.it.
authors.forename: Adriano
authors.initials: A
authors.lastname: Peris
authors.affiliation: Department of Surgery and Translational Medicine, University of Florence, Largo Brambilla 3, 50134 Florence Italy. Electronic address: paolo.bechi@unifi.it.
authors.forename: Paolo
authors.initials: P
authors.lastname: Bechi
keywords: Damage control surgery; Foreign bodies ingestion; Gastrointestinal bleeding; Hypovolemic shock; Jejunal diverticula