TY - JOUR
T1 - Hemorrhagic shock secondary to multiple duodenojejunal diverticular bleeding: A case report
AU - Yang, Y.-S.
AU - Chan, D.-C.
AU - Lin, Hsuan-Hwai
AU - Huang, Tien-Yu
AU - Chao, Y.-C.
AU - Chu, Heng-Cheng
N1 - Export Date: 22 March 2016
CODEN: CGIHA
通訊地址: Chu, H.-C.; Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Cheng-Kung Road, Neihu 114, Taipei, Taiwan; 電子郵件： [email protected]
參考文獻: Brief, D.K., Botsford, T.W., Primary bleeding from the small intestine in adults. The surgical management (1963) JAMA, 184, pp. 18-22; Lahoti, S., Fukami, N., The small bowel as a source of gastrointestinal blood loss (1999) Curr Gastroenterol Rep, 1, pp. 424-430; Donald, J.W., Major complications of small bowel diverticula (1979) Ann Surg, 190, pp. 183-188; Coulier, B., Maldague, P., Bourgeois, A., Broze, B., Diverticulitis of the small bowel: CT diagnosis (2006) Abdom Imaging, , DOI 10.1007/s00261-006-9045-8; Noer, T., Non-Meckelian diverticula of the small bowel. The incidence in an autopsy material (1960) Acta Chir Scand, 120, pp. 175-179; Shackelford, R.T., Marcus, W.Y., Jejunal diverticula - a cause of gastro-intestinal hemorrhage: A report of three cases and review of the literature (1960) Ann Surg, 151, pp. 930-938; Orr, I.M., Russell, J.Y., Diverticulosis of the jejunum - a clinical entity (1951) Br J Surg, 39, pp. 139-147; Wilcox, R.D., Shatney, C.H., Surgical implications of jejunal diverticula (1988) South Med J, 81, pp. 1386-1391; Zager, J.S., Garbus, J.E., Shaw, J.P., Cohen, M.G., Garber, S.M., Jejunal diverticulosis: A rare entity with multiple presentations, a series of cases (2000) Dig Surg, 17, pp. 643-645; Browder, W., Cerise, E.J., Litwin, M.S., Impact of emergency angiography in massive lower gastrointestinal bleeding (1986) Ann Surg, 204, pp. 530-536; Hunter, J.M., Pezim, M.E., Limited value of technetium 99m-labeled red cell scintigraphy in localization of lower gastrointestinal bleeding (1990) Am J Surg, 159, pp. 504-506; Williams, R.A., Davidson, D.D., Serota, A.I., Wilson, S.E., Surgical problems of diverticula of the small intestine (1981) Surg Gynecol Obstet, 152, pp. 621-626; Civetta, J.M., Daggett, W.M., Gastrointestinal bleeding from jejunal diverticula (1967) Ann Surg, 166, pp. 976-979
PY - 2007
Y1 - 2007
N2 - Background: Hemorrhagic shock from multiple duodenojejunal diverticular bleeding has rarely been reported in the literature. Case Report: A 75-year-old male was admitted with symptoms of syncope and melena persisting for 1 day. During hospitalization, massive melena and hematochezia were noted with episodes of shock. Upper gastrointestinal pan-endoscopy, colonoscopy and angiography failed to identify the source of bleeding. A technetium-labeled erythrocyte scintigraphy suggested proximal intestinal hemorrhage. Additionally, barium examination of the small intestine revealed diverticulosis over the 4th portion of the duodenum and the proximal jejunum. Surgical intervention with resection of the diverticula cured the patient. Conclusion: Although shock from multiple duodenojejunal diverticular bleeding is rare, this possibility should be considered in patients with gastrointestinal bleeding. © 2007 S. Karger GmbH.
AB - Background: Hemorrhagic shock from multiple duodenojejunal diverticular bleeding has rarely been reported in the literature. Case Report: A 75-year-old male was admitted with symptoms of syncope and melena persisting for 1 day. During hospitalization, massive melena and hematochezia were noted with episodes of shock. Upper gastrointestinal pan-endoscopy, colonoscopy and angiography failed to identify the source of bleeding. A technetium-labeled erythrocyte scintigraphy suggested proximal intestinal hemorrhage. Additionally, barium examination of the small intestine revealed diverticulosis over the 4th portion of the duodenum and the proximal jejunum. Surgical intervention with resection of the diverticula cured the patient. Conclusion: Although shock from multiple duodenojejunal diverticular bleeding is rare, this possibility should be considered in patients with gastrointestinal bleeding. © 2007 S. Karger GmbH.
KW - Diverticula
KW - Duodenojejunal bleeding
KW - Hemorrhage
KW - Small intestine
KW - aged
KW - angiography
KW - article
KW - case report
KW - colonoscopy
KW - duodenojejunal diverticulum bleeding
KW - gastrointestinal endoscopy
KW - hemorrhagic shock
KW - human
KW - intestinal bleeding
KW - intestine diverticulosis
KW - intestine resection
KW - male
KW - melena
KW - scintigraphy
KW - syncope
KW - treatment outcome
KW - upper gastrointestinal tract
U2 - 10.1159/000097933
DO - 10.1159/000097933
M3 - Article
SN - 0177-9990
VL - 23
SP - 88
EP - 90
JO - Chirurgische Gastroenterologie Interdisziplinar
JF - Chirurgische Gastroenterologie Interdisziplinar
IS - 1
ER -