POSTOPERATIVE HEMATEMESIS DUE TO DIEULAFOY'S CIRSOID ANEURYSM OF THE JEJUNUM ALONG WITH STAPLE LINE ULCERS IN AN ULCERATIVE COLITIS PATIENT: A CASE REPORT

• UCHINO Motoi

  Second department of Surgery, Hyogo College of Medicine

• IKEUCHI Hiroki

  Second department of Surgery, Hyogo College of Medicine

• OHSHIMA Tsutomu

  Second department of Surgery, Hyogo College of Medicine

• TSUKAMOTO Kiyoshi

  Second department of Surgery, Hyogo College of Medicine

• NAKAMURA Mitsuhiro

  Second department of Surgery, Hyogo College of Medicine

• GEGA Makoto

  Second department of Surgery, Hyogo College of Medicine

• NAKANO Hiroki

  Second department of Surgery, Hyogo College of Medicine

• YAGYU Toshihiko

  Second department of Surgery, Hyogo College of Medicine

• NODA Masafumi

  Second department of Surgery, Hyogo College of Medicine

• JINNO Yoshio

  Departynent of lower Gastroenterology, Hyogo College of Medicine

• MASTUMOTO Takayuki

  Departynent of lower Gastroenterology, Hyogo College of Medicine

• TOMITA Naohiro

  Second department of Surgery, Hyogo College of Medicine

Bibliographic Information

Other Title

• 潰瘍性大腸炎術後，回腸嚢ｓｔａｐｌｅ　ｌｉｎｅ　ｕｌｃｅｒ，小腸Ｄｉｅｕｌａｆｏｙ’ｓ　Ｃｉｒｓｏｉｄ　Ａｎｅｕｒｙｓｍ（Ｄｉｅｕｌａｆｏｙ様潰瘍）出血に対し内視鏡的止血が有効であった１例

Abstract

An ulcerative colitis patient developed postoperative massive intestinal bleeding due to afoy's cirsoid aneurysm of the jejunum along with, frequent, staple line ulcer in the ileal J pouch. 6 years earlier the 23-year-old male patient had had a total colectomy, mucosal proctectomy, and ileal J pouch anal anastomosis. Subsequently, the patient had frequent melena caused by recurrent staple line ulcers located in the ileal j pouch. Though he did not fulfill the diagnostic criteria of pouchitis, the patient was also medically treated for pouchitis. The patient developed massive intestinal bleeding due to a Dieulafoy's cirsoid aneurysm located in the jejunum ; he was effectively treated by an intestinal endoscopic hemostatic maneuver, during which an exposed vessel was clipped. Cases effectively treated endoscopic hemostasis for frequent, recurring staple line ulcers (pouchitis) and Dieulafoy's cirsoid aneurysm of the jejunum are considered to be very rare.

Journal

• GASTROENTEROLOGICAL ENDOSCOPY

  GASTROENTEROLOGICAL ENDOSCOPY 50 (4), 1129-1135, 2008

  Japan Gastroenterological Endoscopy Society

Keywords

• 潰瘍性大腸炎/回腸嚢炎/staplelineulcer/小腸Dieulafoy様潰瘍(Dieulafoy'scirsoidaneurysm)/小腸内視鏡

Details

• CRID: 1390282679196821760
• NII Article ID: 130004090131
• NII Article ID: 10021272685
• NII Book ID: AN00192102
• DOI: 10.11280/gee1973b.50.1129
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/2008209198
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed