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April 22, 1950

MASSIVE GASTROINTESTINAL HEMORRHAGE DUE TO JEJUNAL DIVERTICULA

JAMA. 1950;142(16):1258-1262. doi:10.1001/jama.1950.02910340004002

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Abstract

It may or may not be generally known that over 300 cases of diverticula of the mesenteric portion of the small bowel have been reported in the literature. But that a patient could bleed to death from such a lesion would seem incredible to all except the few who have previously reported this complication. We report this case because it is the seventh of its kind in the literature, it illustrates the seriousness of the hemorrhage that can occur with jejunal diverticula, it furnishes morphologic evidence of this complication and it alerts the general surgeon to the need for more aggressive treatment of patients with massive gastrointestinal bleeding.

REPORT OF A CASE  The patient was a 64 year old white man who, sixteen days before his admisison to St. Francis Hospital in Evanston, Ill., noticed the passage of a large, black, formed stool. This was coincident with his sustaining a

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