ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding
Massive gastrointestinal (GI) bleeding can occur with multiple jejunal diverticulosis. However, significant bleeding in the setting of few diverticulae is very unusual and rare. We report a case of massive gastrointestinal bleeding from an arteriovenous malformation (AVM) within a jejunal diverticu...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2009-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2009/384506 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563525595168768 |
|---|---|
| author | Jeffrey K. Lee John M. Carethers Pradipta Ghosh |
| author_facet | Jeffrey K. Lee John M. Carethers Pradipta Ghosh |
| author_sort | Jeffrey K. Lee |
| collection | DOAJ |
| description | Massive gastrointestinal (GI) bleeding can occur with multiple jejunal diverticulosis. However, significant bleeding in the setting of few diverticulae is very unusual and rare. We report a case of massive gastrointestinal bleeding from an arteriovenous malformation (AVM) within a jejunal diverticulum to underscore the significance of such coexisting pathologies. Mesenteric angiogram was chosen to help identify the source of bleeding and to offer an intervention. Despite endovascular coiling, emergent intestinal resection of the bleeding jejunal segment was warranted to ensure definitive treatment. However several reports have shown jejunal diverticulosis as a rare cause of massive GI bleeding. The coexistence of jejunal diverticulum and AVM is rare and massive bleeding from an acquired Dieulafoy-like AVM within a diverticulum has never previously been described. Awareness of Dieulafoy-like AVM within jejunoileal diverticulosis is useful in preventing delay in treatment. |
| format | Article |
| id | doaj-art-dde1e88f0fa04306a1d9b3f6db3303ef |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-dde1e88f0fa04306a1d9b3f6db3303ef2025-02-03T01:20:05ZengWileyGastroenterology Research and Practice1687-61211687-630X2009-01-01200910.1155/2009/384506384506ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal BleedingJeffrey K. Lee0John M. Carethers1Pradipta Ghosh2Department of Medicine, Division of Gastroenterology, University of California, San Diego, CA 92103, USADepartment of Medicine, Division of Gastroenterology, University of California, San Diego, CA 92103, USADepartment of Medicine, Division of Gastroenterology, University of California, San Diego, CA 92103, USAMassive gastrointestinal (GI) bleeding can occur with multiple jejunal diverticulosis. However, significant bleeding in the setting of few diverticulae is very unusual and rare. We report a case of massive gastrointestinal bleeding from an arteriovenous malformation (AVM) within a jejunal diverticulum to underscore the significance of such coexisting pathologies. Mesenteric angiogram was chosen to help identify the source of bleeding and to offer an intervention. Despite endovascular coiling, emergent intestinal resection of the bleeding jejunal segment was warranted to ensure definitive treatment. However several reports have shown jejunal diverticulosis as a rare cause of massive GI bleeding. The coexistence of jejunal diverticulum and AVM is rare and massive bleeding from an acquired Dieulafoy-like AVM within a diverticulum has never previously been described. Awareness of Dieulafoy-like AVM within jejunoileal diverticulosis is useful in preventing delay in treatment.http://dx.doi.org/10.1155/2009/384506 |
| spellingShingle | Jeffrey K. Lee John M. Carethers Pradipta Ghosh ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding Gastroenterology Research and Practice |
| title | ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding |
| title_full | ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding |
| title_fullStr | ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding |
| title_full_unstemmed | ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding |
| title_short | ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding |
| title_sort | arteriovenous malformation within jejunal diverticulum an unusual cause of massive gastrointestinal bleeding |
| url | http://dx.doi.org/10.1155/2009/384506 |
| work_keys_str_mv | AT jeffreyklee arteriovenousmalformationwithinjejunaldiverticulumanunusualcauseofmassivegastrointestinalbleeding AT johnmcarethers arteriovenousmalformationwithinjejunaldiverticulumanunusualcauseofmassivegastrointestinalbleeding AT pradiptaghosh arteriovenousmalformationwithinjejunaldiverticulumanunusualcauseofmassivegastrointestinalbleeding |