Case report: gastrointestinal haemorrhage from jejunal diverticulosis, probably induced by low dose aspirin

J Gastroenterol Hepatol. 1996 Oct;11(10):908-10.

Abstract

A 66-year-old female, who had been taking low dose aspirin for approximately 6 months, was admitted to hospital with severe gastrointestinal bleeding. The source of bleeding could not be demonstrated despite gastroscopy, mesenteric angiography and 99mTc-labelled red blood cell scanning. Mesenteric angiography was repeated, demonstrating a site of bleeding in the proximal small intestine. Laparotomy revealed blood-filled jejunal diverticulosis. Resection of the affected segment resulted in cessation of haemorrhage and the patient remains well in follow up. The present report illustrates a rare cause of gastrointestinal haemorrhage, the possible role of aspirin in causation and the difficulty in diagnosis of bleeding from jejunal diverticulosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Aspirin / administration & dosage
  • Aspirin / adverse effects*
  • Diverticulum / complications*
  • Diverticulum / diagnosis
  • Diverticulum / surgery
  • Female
  • Gastrointestinal Hemorrhage / chemically induced*
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / etiology
  • Humans
  • Jejunal Diseases / complications*
  • Jejunal Diseases / diagnosis
  • Jejunal Diseases / surgery

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Aspirin