1994 Volume 36 Issue 11 Pages 2210-2214_1
We experienced a rare case that massive gastrointestinal hemorrhage was caused suddenly by a ruptured submucosal aneurysm in the jejunum. A 38-years-old male was admitted to our hospital for massive bloody stool with severe shock status. Initialy we tried to perform upper and lower gastrointestinal endoscopic examinations, but we were unable to find an obvious hemorrhagic sourse. Angiographic study was done, but we had negative findings for gastrointestinal hemorrhage. Since his shock status and bleeding persisted in spite of a large quantity of continous fresh blood transfusion, we tried to perform an endoscopic examination in exploratory laparotomy. We found a submucosal tumor with intermittently bleeding from the top in the jejunum, and segmental resection was done. Pathological study showed a ruptured submucosal aneurysm of small intestine (cirsoid aneurysm). We reported this case and reviewed clinicopathological characteristics on 19 cases of cirsoid aneurysm reported in Japan.
