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...

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Main Authors: Jeffrey K. Lee, John M. Carethers, Pradipta Ghosh
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2009/384506
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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.
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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
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AT pradiptaghosh arteriovenousmalformationwithinjejunaldiverticulumanunusualcauseofmassivegastrointestinalbleeding