caa a22 4500 47575350X CHVBK 20180406123531.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s005950070091 doi (NATIONALLICENCE)springer-10.1007/s005950070091 Massive bleeding from multiple jejunal diverticula associated with an angiodysplasia: Report of a case [Elektronische Daten] [Shiro Kawamura, Muneyoshi Nishijima, Takeshi Yamamoto, Ken-ichi Sakai, Hisaya Hirai, Motohiro Imano, Michio Kato, Harumasa Ohyanagi] We report herein the case of a 70-year-old woman who presented with massive bleeding from multiple jejunal diverticula. She was initially admitted to our hospital with massive melena. An upper gastrointestinal endoscopic examination revealed no bleeding site. Colonoscopy revealed clotted and red blood throughout the colon, and a small diverticulum in the ascending colon which was thought to be the source of bleeding. Following admission, she was treated conservatively at first, but melena continued and the anemia did not improve despite blood transfusions. A laparotomy was performed and multiple jejunal diverticula, distributed from 10 to 40cm distal to the ligament of Treitz, were found. A segment of the jejunum containing all diverticula was resected. The most distal diverticulum contained a clot of blood, but no ulceration was observed. A histological examination revealed many dilated blood vessels in the mucosa and submucosa of this diverticulum, which were compatible with the findings of angiodysplasia. Based on these findings, we believe that angiodysplasia was the cause of bleeding from the jejunal diverticula in this case. Springer-Verlag, 2000 Massive bleeding nationallicence Multiple jejunal diverticula nationallicence Angiodysplasia nationallicence Kawamura Shiro Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut Nishijima Muneyoshi Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut Yamamoto Takeshi Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut Sakai Ken-ichi Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut Hirai Hisaya Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut Imano Motohiro Second Department of Surgery, Kinki University School of Medicine, 377-2 Ohno-Higashi, 589-8511, Osaka-Sayama, Osaka, Japan aut Kato Michio Second Department of Surgery, Kinki University School of Medicine, 377-2 Ohno-Higashi, 589-8511, Osaka-Sayama, Osaka, Japan aut Ohyanagi Harumasa Second Department of Surgery, Kinki University School of Medicine, 377-2 Ohno-Higashi, 589-8511, Osaka-Sayama, Osaka, Japan aut Surgery Today Springer-Verlag 30/8(2000-08-01), 750-753 0941-1291 30:8<750 2000 30 595 https://doi.org/10.1007/s005950070091 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070091 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kawamura Shiro Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut NATIONALLICENCE 700 1- Nishijima Muneyoshi Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut NATIONALLICENCE 700 1- Yamamoto Takeshi Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut NATIONALLICENCE 700 1- Sakai Ken-ichi Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut NATIONALLICENCE 700 1- Hirai Hisaya Department of Surgery, Osaka-Gyomeikan Hospital, 1-22-12 Kasugadenaka, Konohana-ku, 554-0022, Osaka, Japan aut NATIONALLICENCE 700 1- Imano Motohiro Second Department of Surgery, Kinki University School of Medicine, 377-2 Ohno-Higashi, 589-8511, Osaka-Sayama, Osaka, Japan aut NATIONALLICENCE 700 1- Kato Michio Second Department of Surgery, Kinki University School of Medicine, 377-2 Ohno-Higashi, 589-8511, Osaka-Sayama, Osaka, Japan aut NATIONALLICENCE 700 1- Ohyanagi Harumasa Second Department of Surgery, Kinki University School of Medicine, 377-2 Ohno-Higashi, 589-8511, Osaka-Sayama, Osaka, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/8(2000-08-01), 750-753 0941-1291 30:8<750 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer