Scientific Online Resource System

Scripta Scientifica Medica

Massive bleeding in small bowel diverticulosis

Sergey Glinkov, Evgeni Kiryazov, Boris Kornovski, Pavel Pavlov, Todor Alexiev


INTRODUCTION: Diagnosis of small bowel diverticulosis complications is difficult in the emergency set­ting and often delays surgical management. The aim of this study was to report our experience with three patients presenting with surgical complication of small bowel diverticulosis with massive bleeding.

PATIENTS AND METHODS: From January 2015 to February 2017, three patients, two males and one fe­male, presenting with bleeding as a complication of small bowel diverticulosis were included in this study. Their mean age was 70 years.

RESULTS: The mean duration between the complication onset and its management was 8.3 days. Gastroen­doscopy and colonoscopy were used to eliminate stomach and colon bleeding. All the patients were operated on. Segmental small bowel resection was performed with primary anastomosis without any complications.

CONCLUSION: Small bowel diverticulosis is a rare pathology. In cases of gastrointestinal hemorrhage, di­agnosis is performed by eliminating the bleeding from gastroduodenal and colonic segment of the gastro­intestinal tract. The diagnosis has been established through exploratory laparotomy only. Scr Sci Med 2017; 49(3): 40-44


jejunal diverticulosis, bleeding

Full Text


Arabadzhieva E, Benev S, Takov P, Dimitrova V. Surgical treatment of complicated forms of gastrointestinal tract diverticulosis. Bulg Med J. 2012;(1):58-63 (in Bulgarian)

Hartmann D, Schmidt H, Bolz G, Schilling D, Kinzel F, Eickhoff A, et al. A prospective two-center study comparing wireless capsule endoscopy with intraoperative enteroscopy in patients with obscure GI bleeding. Gastrointest Endosc. 2005;61(7):826-32. doi: .org/10.1016/ S0016-5107(05)00372-X

Hsu PS, Chen JL, Yu JC, Hsieh CB, Shih ML. Accurate diagnosis and successful treatment for massive obscure small intestinal bleeding by means of intra-operative enteroscopy: a case report. Eur J Gastroenterol Hepatol. 2008;20(2):139-41. doi: 10.1097/ MEG.0b013e32825a6ac6.

Kornprat P, Langner C, Mischinger HJ. Enterolithiasis in jejunal diverticulosis, a rare cause of obstruction of the small intestine: a case report. Wien Klin Wochenschr. 2005;117(7-8):297-9.

Liu CK, Chang KM. Massive bleeding from a ruptured artery in jejunal diverticulosis without pre-existing mucosal inflammation or ulceration. Clin J Gastroenterol. 2009;2(2):85-8. doi: 10.1007/ s12328-008-0048-6.

Songné B, Costaglioli B, Michot F, Ténière P, Scotté M. Management of surgical compli cations of small-bowel diverticulosis. Gastroenterol Clin Biol. 2005;29(4):415-8. doi: GCB-04-2005-29-4-0399-8320-101019-200513281.

Monchal T, Hornez E, Bourgouin S, Sbardella F, Baudoin Y, Butin C, et al. Enterolith ileus due to jejunal diverticulosis. Am J Surg. 2010;199(4):e45-7. doi: 10.1016/j.amjsurg.2009.05.042.

Tiwary SK, Hakim MZ, Kumar P, Khanna AK. Jejunal angiodysplasia causing recurrent gastrointestinal bleeding presenting as severe anaemia and melena. BMJ Case Rep. 2015 Nov 13;2015. doi: 10.1136/bcr-2015-212798.

Jansen JM, Oldenburg B, van Milligen de Wit AW. Small intestinal metastasis from non-small-cell carcinoma of the lung: a rare cause of GI bleeding of obscure origin. Gastrointest Endosc. 2004;59(3):447-9. doi: org/10.1016/ S0016-5107(03)02536-7

Vilallonga R, Sanchez Garcia JL, Armengol M, Iordache N. Jejunal diverticula causing massive intestinal bleeding. Chirurgia (Bucur). 2012;107(5):652-4.

Pennazio M. Introduction to small-bowel bleeding. Tech Gastrointest Endosc 2012;14(2):94-9.

Article Tools
Email this article (Login required)
About The Authors

Sergey Glinkov

Evgeni Kiryazov

Boris Kornovski

Pavel Pavlov

Todor Alexiev

Font Size