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

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.

• Authors: S P Kaushik, J M D'Rozario, G Chong, M L Bassett
• Journal: Journal of gastroenterology and hepatology (J Gastroenterol Hepatol) Vol. 11 Issue 10 Pg. 908-10 (Oct 1996) ISSN: 0815-9319 [Print] Australia
• PMID: 8912125 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Inflammatory Agents, Non-Steroidal
• Aspirin

Topics

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