@article{34448208918d491b892c5f475fed2364,
title = "Hemorrhagic shock secondary to multiple duodenojejunal diverticular bleeding: A case report",
abstract = "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. {\textcopyright} 2007 S. Karger GmbH.",
keywords = "Diverticula, Duodenojejunal bleeding, Hemorrhage, Small intestine, aged, angiography, article, case report, colonoscopy, duodenojejunal diverticulum bleeding, gastrointestinal endoscopy, hemorrhagic shock, human, intestinal bleeding, intestine diverticulosis, intestine resection, male, melena, scintigraphy, syncope, treatment outcome, upper gastrointestinal tract",
author = "Y.-S. Yang and D.-C. Chan and Hsuan-Hwai Lin and Tien-Yu Huang and Y.-C. Chao and Heng-Cheng Chu",
note = "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： chu5583@ms55.hinet.net 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",
year = "2007",
doi = "10.1159/000097933",
language = "English",
volume = "23",
pages = "88--90",
journal = "Visceral Medicine",
issn = "2297-4725",
publisher = "S. Karger AG",
number = "1",
}