Pernicious Pouch of Problems: A Challenging Case of Massive Hemorrhage Secondary to Jejunal Diverticular Bleeding
2024

Case of Massive Hemorrhage from Jejunal Diverticular Bleeding

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Reed Tyler J, Zimmer Sarah K, Nelson Nicholas T, Bush Allison M

Primary Institution: Naval Medical Center Portsmouth, Portsmouth, USA

Conclusion

The case highlights the successful endoscopic management of a rare jejunal diverticular hemorrhage that evaded multiple diagnostic evaluations.

Supporting Evidence

  • Jejunal diverticulosis is a rare cause of gastrointestinal bleeding.
  • The patient experienced recurrent massive GI hemorrhage.
  • Endoscopic management was successful in treating the bleeding diverticulum.
  • The case emphasizes the importance of repeated imaging in identifying obscure sources of GI bleeding.

Takeaway

A woman had a serious bleeding problem in her intestines from a rare condition, but doctors found and fixed it using a special camera procedure instead of surgery.

Methodology

The case involved multiple imaging and endoscopic evaluations to identify and treat the source of bleeding.

Limitations

The rarity of jejunal diverticulosis makes it difficult to diagnose and treat, and common imaging methods may have limited utility.

Participant Demographics

57-year-old female with a history of splenic artery aneurysm and other health issues.

Digital Object Identifier (DOI)

10.7759/cureus.74590

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