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Case Reports
. 2016 Oct 26;3(4):e146.
doi: 10.14309/crj.2016.119. eCollection 2016 Aug.

Rare Jejunal Diverticular Bleeding

Ayokunle T Abegunde  1 , Emily Christman  1 , Lewis A Hassell  2 , Donald Kastens  1
Affiliations
Case Reports

Rare Jejunal Diverticular Bleeding

Ayokunle T Abegunde et al. ACG Case Rep J. .

Abstract

Severe gastrointestinal bleeding (GIB) secondary to jejunal diverticulosis (JD) is very rare. Delay in establishing a diagnosis is common and GIB from JD is associated with significant morbidity and mortality. We report an illustrative case diagnosed by push enteroscopy and managed with surgery.

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Figures

Figure 1
Figure 1
Push enteroscopy revealed (A) fresh blood in the proximal jejunum, (B) 3 large diverticula, and 1 adherent clot.
Figure 2
Figure 2
The resected segment of the jejunum confirmed the diagnosis of jejunal diverticula.
Figure 3
Figure 3
Microscopic examination of the resected segment of the jejunum showed jejunal diverticula and abundant submucosal black pigmentation from tattooing process.
See this image and copyright information in PMC

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