Cases reported "Jejunal Diseases"

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1/7. Jejunal diverticula causing massive haemorrhage.

    Two elderly patients with massive bleeding from jejunal diverticulosis are reported. Scintigraphy revealed the bleeding source. Emergency resection of the involved portion of jejunum cured the patients. Few such cases have been published. Although very rare, one must always have in mind jejunal diverticula to be the source of gastrointestinal haemorrhage.
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ranking = 1
keywords = gastrointestinal haemorrhage, haemorrhage
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2/7. Embolisation in small bowel haemorrhage.

    As embolism of small bowel arteries carries the risk of bowel infarction, the technique is usually reserved for situations where a vasopressin infusion has failed to control bleeding. We report three cases in which embolisation was used as the primary treatment to control small bowel haemorrhage without the complication of bowel infarction.
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ranking = 0.058828645265178
keywords = haemorrhage
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3/7. Mycotic aneurysm of the small bowel presenting as gastrointestinal haemorrhage.

    Since the advent of modern antibiotic therapy and active surgical treatment of bacterial endocarditis, septic embolization of the systemic circulation is rarely seen. An unusual presentation of a mycotic aneurysm with gastrointestinal haemorrhage in a patient with non-Hodgkin's lymphoma and aortic valvular endocarditis which had been managed by aortic valve replacement six weeks before the haemorrhage occurred is reported.
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ranking = 4.7764511479923
keywords = gastrointestinal haemorrhage, haemorrhage
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4/7. Gastrointestinal haemorrhage from a jejunal gangliocytic paraganglioma.

    A case of jejunal gangliocytic paraganglioma is reported in a 54 year old woman who presented with brisk melaena. The tumour was not encapsulated, involved the mucosa and submucosa, and was composed of epithelial nests, spindle cells, and ganglion cells. These cells were mixed, giving carcinoid-like, paraganglioma-like, and ganglioneuroma-like patterns in different areas of the tumour. The lesion was excised locally and recovery was uneventful. Only four previous cases have been reported at this site.
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ranking = 0.047062916212143
keywords = haemorrhage
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5/7. Multifocal leiomyosarcoma of the gastrointestinal tract requiring emergency surgical treatment for small bowel intussusception.

    A case of multifocal leiomyosarcoma of the stomach, duodenum and jejunum presenting as an intestinal occlusion for small bowel intussusception is reported. Complete surgical excision of the tumour was not possible due to the wide dissemination. The patient died two months later for haemorrhage from an ulcerated gastric localization. Surgical and prognostic implications of disseminated gastrointestinal leiomyosarcoma are briefly discussed through a literature review.
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ranking = 0.011765729053036
keywords = haemorrhage
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6/7. Case report: gastrointestinal haemorrhage from jejunal diverticulosis, probably induced by low dose aspirin.

    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.
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ranking = 4.7764511479923
keywords = gastrointestinal haemorrhage, haemorrhage
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7/7. Abdominal tuberculosis with fatal gastro-intestinal haemorrhage.

    We describe a patient who presented with chronic diarrhoea and features of malabsorption, suspected clinically to be due to abdominal tuberculosis and who developed fatal haematochezia a few days into a therapeutic trial of antituberculous chemotherapy. At autopsy, multiple tuberculosis ulcers were found in the jejunum, ileum and descending colon.
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ranking = 0.047062916212143
keywords = haemorrhage
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