The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
A CASE OF JEJUNAL DIVERTICULOSIS WITH MASSIVE MELENA
Yoshihisa SAKAGUCHITohru UTSUNOMIYAMasaaki MORIYAMAFumiaki ITOHTakehiko CHIBAYasuyuki OKUDAIRAIzuo KUSABA
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1989 Volume 50 Issue 10 Pages 2220-2224

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Abstract

A case of jejunal diverticulosis with massive melena, of which bleeding point was locally diagnosed by preoperative angiography, is reported.
A 52-year-old male with the complaint of massive melena was admitted in pre-shock state. As anemia was not improved by conservative therapy and selective superior mesenteric angiogram revealed a bleeding lesion in the jejunum, emergency operation was performed. Two diverticula were recognized at the mesenteric border of the jejunum about 50cm and 130cm below the ligament of Treitz. Both of them were bilocular, and linear ulcers were found at their septums. A stump of artery was exposed in the ulcer of oral side diverticulum and the source of the bleeding was found macroscopically.
Histopathologically a linear ulcer and ruptured artery at the bottom of the ulcer were shown and the additional discussion was made from a point of clinical surgery.

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