Hemorrhagic shock secondary to multiple duodenojejunal diverticular bleeding: A case report

Y.-S. Yang, D.-C. Chan, Hsuan-Hwai Lin, Tien-Yu Huang, Y.-C. Chao, Heng-Cheng Chu

研究成果: 雜誌貢獻文章

摘要

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.
原文英語
頁(從 - 到)88-90
頁數3
期刊Chirurgische Gastroenterologie Interdisziplinar
23
發行號1
DOIs
出版狀態已發佈 - 2007
對外發佈Yes

指紋

Hemorrhagic Shock
Hemorrhage
Melena
Diverticulum
Shock
Gastrointestinal Endoscopy
Gastrointestinal Hemorrhage
Technetium
Syncope
Jejunum
Barium
Colonoscopy
Duodenum
Radionuclide Imaging
Small Intestine
Angiography
Hospitalization
Erythrocytes

引用此文

Hemorrhagic shock secondary to multiple duodenojejunal diverticular bleeding: A case report. / Yang, Y.-S.; Chan, D.-C.; Lin, Hsuan-Hwai; Huang, Tien-Yu; Chao, Y.-C.; Chu, Heng-Cheng.

於: Chirurgische Gastroenterologie Interdisziplinar, 卷 23, 編號 1, 2007, p. 88-90.

研究成果: 雜誌貢獻文章

Yang, Y.-S. ; Chan, D.-C. ; Lin, Hsuan-Hwai ; Huang, Tien-Yu ; Chao, Y.-C. ; Chu, Heng-Cheng. / Hemorrhagic shock secondary to multiple duodenojejunal diverticular bleeding: A case report. 於: Chirurgische Gastroenterologie Interdisziplinar. 2007 ; 卷 23, 編號 1. 頁 88-90.
@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. {\circledC} 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",

}

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: 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

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

VL - 23

SP - 88

EP - 90

JO - Visceral Medicine

JF - Visceral Medicine

SN - 2297-4725

IS - 1

ER -