Successful diagnosis and treatment of jejunal diverticular haemorrhage by full-thickness enterotomy: A case report
作者机构：Department of General SurgeryBeijing Chaoyang HospitalCapital Medical UniversityBeijing 100020China
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2021年第9卷第19期
页 面：5232-5237页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Case report Jejunal diverticular haemorrhage Colonoscopy Gastrointestinal bleeding Surgical intervention
摘 要：BACKGROUND Jejunal diverticula are the rarest of all small bowel diverticula and usually have no classic clinical *** diverticular haemorrhage(JDH)is a rare complication and can be difficult to identify and manage,hence it always resulting in a diagnostic delay and unsatisfactory clinical *** with the advances in endoscopic technology,no consensus have been reached on the diagnosis and management of JDH,the conventional surgical intervention still remains the mainstream for the management of *** report an unique case of a 63-year-old male who presented with massive haemorrhage from jejunal diverticula,which was successfully managed by initial resuscitation and definitive *** SUMMARY A 63-year-old male was admitted as an emergency with 6 h history of haematemesis and *** haematemesis appeared to be bright red,with volume exceeding 100 *** amount of melena was estimated to be 200 ***,the patient received fluid resuscitation and three unit blood ***,in order to localize the bleeding sites,colonoscopy,upper gastrointestinal endoscopy,and mesenteric angiography were utilized but failed to identify the source of *** consent form was obtained for further treatment,and he was treated with an exploratory laparotomy and the bleeding site was successfully located during the *** was diagnosed with *** postoperative period was uneventful,and he was discharged on day 18 after *** rebleeding occurred at the 1-year *** In patients with gastrointestinal bleeding,if various techniques fail to identify the cause of haemorrhage in small bowel and haemodynamic instability is sustained with continuous resuscitation,we recommend surgical intervention should be the ultimate treatment of choice.
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