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- Title
Acquired ileal diverticulum: an unusual bleeding source.
- Authors
Matsumoto, Akio; Saitoh, Osamu; Matsumoto, Hisashi; Yamauchi, Hiroaki; Inoue, Toshihiro; Katoh, Hitoshi; Masumoto, Hirofumi; Morikawa, Hiroshi; Hirata, Ichiro; Katsu, Ken-ichi; Matsumoto, A; Saitoh, O; Matsumoto, H; Yamauchi, H; Inoue, T; Katoh, H; Masumoto, H; Morikawa, H; Hirata, I; Katsu, K
- Abstract
Acquired ileal diverticulum is an uncommon condition and diagnosis is often difficult when bleeding occurs from this source. Here we describe two cases of ileal diverticulum with massive bleeding. Both patients presented with anal bleeding, but upper and lower gastrointestinal endoscopy did not reveal the source. Selective visceral angiography finally detected bleeding lesions in the terminal ileum. Surgical resection was performed in both patients, confirming that the bleeding arose from diverticula less than 1 cm in size. In patients with obscure gastrointestinal bleeding, an ileal diverticulum should be considered, and selective visceral angiography should be performed for precise diagnosis.
- Subjects
DIVERTICULITIS; GASTROINTESTINAL hemorrhage; ANGIOGRAPHY
- Publication
Journal of Gastroenterology, 2000, Vol 35, Issue 2, p163
- ISSN
0944-1174
- Publication type
journal article
- DOI
10.1007/s005350050031