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Surgery
Digestive bleeding due to jejunal diverticula: diagnosis and management
  1. Javier Oscar Dagnesses Fonseca1,2,
  2. Juan Emmanuel Danes Grases1,
  3. Paloma Luengo Batres3 and
  4. Pablo Calvo Espino1,2
  1. 1 General Surgery, Hospital Universitario de Móstoles, Madrid, Spain
  2. 2 General Surgery, Universidad Francisco de Vitoria, Pozuelo de Alarcon, Spain
  3. 3 Emergency Department, Hospital Universitario de Móstoles, Madrid, Spain
  1. Correspondence to Dr Javier Oscar Dagnesses Fonseca; jdagnessesf{at}gmail.com

Abstract

A jejunal diverticular haemorrhage is the second most common complication of jejunum diverticula. It can manifest clinically as acute upper gastrointestinal bleeding and is common to imitate acute rectal bleeding. Bleeding is usually associated with or without haemodynamic stability. Its diagnosis is challenging, requiring imaging examinations. Treatment is conservative management or surgery.

  • Gastrointestinal system
  • GI bleeding
  • Small intestine
  • Gastrointestinal surgery

https://doi.org/10.1136/bcr-2023-259089

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    Footnotes

    • X @Dr_JDag

    • Contributors The following authors were directly involved in the patient’s care: JODF, JEDG and PCE. The following authors were not directly involved in the patient’s care, they contributed to the manuscript by: collected data: PLB. The following author is the clinician in charge of the clinical care of the patient, who supervised the preparation of the manuscript, was responsible for obtaining informed consent from the patient/guardian/family members and is responsible for the overall integrity of the content of the manuscript: PCE. The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: JODF, PLB, JEDG and PCE. The following authors gave final approval of the manuscript: PCE.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.