1. Acquired ileal diverticulum: an unusual bleeding source
- Author
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Ichiro Hirata, Toshihiro Inoue, Hiroshi Morikawa, Akio Matsumoto, Hitoshi Katoh, Ken-ichi Katsu, Osamu Saitoh, Hirofumi Masumoto, Hiroaki Yamauchi, and Hisashi Matsumoto
- Subjects
Male ,medicine.medical_specialty ,Lower gastrointestinal bleeding ,Colonoscopy ,Visceral angiography ,digestive system ,Diagnosis, Differential ,Internal medicine ,medicine ,Humans ,Aged ,medicine.diagnostic_test ,Ileal Diseases ,business.industry ,Angiography ,Gastroenterology ,Middle Aged ,Hepatology ,medicine.disease ,digestive system diseases ,Colorectal surgery ,Diverticulum ,Radiology ,Gastrointestinal Hemorrhage ,business ,Ileal diverticulum ,Abdominal surgery - 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.
- Published
- 2000
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