Yeyuno-ileal diverticulosis: a rare cause of hemorrhagic shock

Abstract Text Approximately, 5-10% of gastrointestinal bleeding comes from the small bowel. Rarer is haemorrhage related to jejunoileal diverticulosis (0.06-5%). An 80 years-old-man presented melena and massive transfusion was needed. In EGD, duodenal ulcers Forrest IIc and III were observed. After 24h, the patient persisted with hemodynamic instability. CT scan revealed an active contrast extravasation in jejunum, hence, superselective embolization was performed. Due to the uncommon localization of bleeding, capsule endoscopy was completed. Jejunal diverticula with an ulcer with fibrin was found. The patient had no further bleeding and was discharged after close monitoring. Although most of patients with jejunal-ileal diverticulosis are asymptomatic, haemorrhage is a potentially fatal complication. Suspicion must be raised in elderly men and capsule endoscopy constitutes a valid and non-invasive diagnostic test. [1] [2] [3]

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Conflicts of interest

Authors do not have any conflict of interest to disclose.

• References

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• 3 Jiang DL, Liu HY, Yuan Y, Sui JC, Jing CC, Jiang KT, Wang QC, Yuan SA, Chen HY, Gao YJ.. Analysis of the causes and clinical characteristics of jejunoileal hemorrhage in China: a multicenter 10 year retrospective survey. BMC Gastroenterol 2012; 12: 101

Publication History

Article published online:
15 April 2024