A Case of Jejunal Diverticula Which Caused Massive Small Bowel Bleeding

소장의 대량출혈을 유발한 공장게실 1예

  • Lee, Ho-Chan (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Jang, Byung-Ik (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Park, Jae-Hyun (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Kim, Sung-Joon (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Park, Jun-Seok (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
  • Jung, Sang-Hoon (Department of Surgery, College of Medicine, Yeungnam University)
  • 이호찬 (영남대학교 의과대학 내과학교실) ;
  • 장병익 (영남대학교 의과대학 내과학교실) ;
  • 박재현 (영남대학교 의과대학 내과학교실) ;
  • 김성준 (영남대학교 의과대학 내과학교실) ;
  • 박준석 (영남대학교 의과대학 내과학교실) ;
  • 정상훈 (영남대학교 의과대학 외과학교실)
  • Published : 2009.12.30

Abstract

Gastrointestinal bleeding is a common cause of hospitalization. Jejunal diverticula is a rare disease and it is an unusual cause of obscure gastrointestinal bleeding. After exclusion of the more common bleeding sources, small bowel diverticula should be considered as a possible rare cause of gastrointestinal bleeding. Jejunal diverticular bleeding is difficult to diagnose and treat because the bleeding site cannot be identified by routine endoscopy and radiologic studies. An exploratory operation is sometimes needed to diagnose and treat obscure gastrointestinal bleeding. If the bleeding site is certain, then surgical resection of the bleeding part of the bowel is the procedure of choice. We report here on a case of jejunal diverticular bleeding that was diagnosed by and treated with surgical resection.

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