Li MY, Han Z, Wang H, Wang YY, Zhao ZR. Multiple jejunal diverticula with repeated gastrointestinal bleeding: A case report. World J Gastrointest Surg 2025; 17(1): 101623 [DOI: 10.4240/wjgs.v17.i1.101623]
Corresponding Author of This Article
Zeng-Ren Zhao, MD, Chief Physician, Professor, Department of Gastrointestinal Surgery, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Yuhua District, Shijiazhuang 050023, Hebei Province, China. ydyy2024@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Meng-Yun Li, Zhe Han, Hao Wang, Yuan-Yuan Wang, Zeng-Ren Zhao, Department of Gastrointestinal Surgery, The First Hospital of Hebei Medical University, Shijiazhuang 050023, Hebei Province, China
Co-corresponding authors: Yuan-Yuan Wang and Zeng-Ren Zhao.
Author contributions: Li MY wrote the first draft; Han Z and Wang H reviewed medical records and provided images; Wang YY and Zhao ZR designed and revised the manuscript; and all the authors have read and approved the final manuscript. Both Wang YY and Zhao ZR have played important and indispensable roles in the design and revision of the manuscript as the co-corresponding authors. Wang YY completed the operation as the surgeon and directed the writing of the manuscript. Zhao ZR reviewed the literature, submitted the early version of the manuscript, and guided the process of revising the manuscript.
Informed consent statement: Informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zeng-Ren Zhao, MD, Chief Physician, Professor, Department of Gastrointestinal Surgery, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Yuhua District, Shijiazhuang 050023, Hebei Province, China. ydyy2024@126.com
Received: September 21, 2024 Revised: November 4, 2024 Accepted: December 2, 2024 Published online: January 27, 2025 Processing time: 97 Days and 9.6 Hours
Abstract
BACKGROUND
Jejunal diverticula (JD) are rare clinical conditions that are typically incidentally detected and asymptomatic. When acute complications arise, surgical exploration may be necessary for accurate diagnosis and appropriate treatment. In this report, we present a case of multiple JD complicated by gastrointestinal bleeding and review the pathogenesis, diagnosis, and treatment of JD to increase clinician awareness of this condition.
CASE SUMMARY
A 70-year-old male patient with multiple JD presented with repeated massive gastrointestinal bleeding. The patient did not respond to symptomatic conservative treatment. Additional diagnostic investigations, including digestive endoscopy and abdominal angiography, did not reveal any relevant abnormalities. An exploratory laparotomy was subsequently performed, during which a segment of the bowel containing numerous diverticulum-like structures was surgically removed. Following successful discharge from the hospital, the patient did not experience any further episodes of gastrointestinal bleeding during subsequent follow-up.
CONCLUSION
Complications caused by JD are often difficult to diagnose, and surgical exploration is sometimes the most appropriate method.
Core Tip: Jejunal diverticula (JD) are rare clinical conditions that can lead to nonspecific symptoms, making diagnosis challenging. Gastrointestinal bleeding caused by JD is observed in 3%-8% of patients and may manifest as either fresh rectal bleeding or dark red bloody stools. In cases of complications, early diagnosis can be facilitated through the use of endoscopy and computed tomography scans, with surgical resection of the affected bowel being the most suitable treatment option. In this report, we present a case of multiple JD associated with recurrent gastrointestinal bleeding, and we discuss its pathogenesis, diagnosis, and treatment options.
