RESUMO
Jejunal diverticulosis is a rare acquired-disease which courses asymptomatic in most cases. In spite of the fact that there are some publications of this entity in pediatric patients, most symptomatic cases have been found in adults. Reported herein is the case of a patient that presented to the emergency room with signs and symptoms suggestive of an acute abdomen. After diagnostic workup and operative management, presence and complications of a jejunal diverticulum were found to be the cause of the abdominal pain.
Assuntos
Abdome Agudo/etiologia , Diverticulite/complicações , Doenças do Jejuno/complicações , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
BACKGROUND: Obscure gastrointestinal bleeding secondary to jejunal angiodysplasia is uncommon. Diagnostic approach is difficult and represents a challenge for the surgeon because of the inaccessibility of the small bowel for evaluation. When the diagnostic work-up has been completed and the bleeding source has not been found, it is mandatory to perform a surgical exploration with transoperative enteroscopy in order to locate the source of the hemorrhage and for further treatment. CASE REPORT: We report the case of a 24-year-old male with massive gastrointestinal bleeding secondary to jejunal angiodysplasia in whom an intraoperative enteroscopy was done to locate the source of bleeding and subsequently resect the affected small bowel. There are actually some non-surgical therapies for patients with high risk of complications. When patients' conditions are optimal, surgical resection is mandatory to avoid recurrence of future bleeding.
Assuntos
Angiodisplasia/complicações , Hemorragia Gastrointestinal/etiologia , Doenças do Jejuno/complicações , Angiodisplasia/cirurgia , Hemorragia Gastrointestinal/cirurgia , Humanos , Doenças do Jejuno/cirurgia , Masculino , Adulto JovemRESUMO
BACKGROUND: Obscure gastrointestinal bleeding secondary to jejunal angiodysplasia is uncommon. Diagnostic approach is difficult and represents a challenge for the surgeon because of the inaccessibility of the small bowel for evaluation. When the diagnostic work-up has been completed and the bleeding source has not been found, it is mandatory to perform a surgical exploration with transoperative enteroscopy in order to locate the source of the hemorrhage and for further treatment. CASE REPORT: We report the case of a 24-year-old male with massive gastrointestinal bleeding secondary to jejunal angiodysplasia in whom an intraoperative enteroscopy was done to locate the source of bleeding and subsequently resect the affected small bowel. There are actually some non-surgical therapies for patients with high risk of complications. When patients' conditions are optimal, surgical resection is mandatory to avoid recurrence of future bleeding.