International Journal of Gerontology
Volume 2, Issue 3 , Pages 120-123, September 2008

Jejunal Diverticula Causing Unusual Massive Lower Gastrointestinal Bleeding

  • Chiong-Hee Wong

      Affiliations

    • Division of Rheumatology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • I-Tsung Lin

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr I-Tsung Lin, Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, 92, Section 2, Chungshan North Road, Taipei, Taiwan
    • ,
  • Shou-Chuan Shih

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Wen-Hsinug Chang

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan
    • ,
  • Horng-Yuan Wang

      Affiliations

    • Division of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan
    • Mackay Medicine, Nursing and Management College, Taipei, Taiwan

Accepted 16 May 2008.

Article Outline

Summary 

Jejunal diverticula are rare and difficult to diagnose. They are often asymptomatic, but they may infrequently cause serious acute complications, such as diverticulitis with or without perforation, volvulus, intussusception, or hemorrhage. Hemorrhage of jejunal diverticula usually presents as lower gastrointestinal bleeding. Diverticula with bleeding may be associated with some anticoagulants, antiplatelets or nonsteroidal antiinflammatory agents in the elderly. In our case, upper gastroscopy and colonoscopy could not easily disclose the bleeding. Selective mesenteric angiography is the gold standard for diagnosis of active and fatal bleeding. The management of a bleeding jejunal diverticulum is surgical resection of the involved segment of jejunum.

Key Words:  aged , diverticulum , gastrointestinal hemorrhage , jejunum , NSAIDs

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PII: S1873-9598(08)70049-8

doi:10.1016/S1873-9598(08)70049-8

International Journal of Gerontology
Volume 2, Issue 3 , Pages 120-123, September 2008

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