1228 Massive Gastrointestinal Bleeding Secondary to Bleeding Jejunal Diverticulum

Abstract Usually, the Jejunal diverticula appeared multiple and vary in size. These false lack muscular coat of normal intestinal walls, most patients presented with it were asymptomatic. Although 10% all develop complications such as perforation, obstruction, or bleeding, which then requires surgical intervention, but bleeding is relatively rare among these complications. A case 74 years old lady was referred to our hospital because persistent hematemesis fresh melena. Her previous recent upper gastrointestinal endoscopy both revealed only gastric erosions without any active bleeding. Also, previous, colonoscopy done not completed due presents blood clots along colon, led improper visualization. selective mesenteric angiography together lower endoscopy, none them source Emergency exploratory laparotomy undertaken, a prominent single jejunal diverticulum vessel entering noted, no from other sites detected. Enterotomy performed, enteroscopy confirmed ulceration at site. Resection portion containing primary anastomosis done, this cured patient. The histopathological examination specimen showed an ulcerative lesion exposed suggestive incidence rare, important look for lesions Keywords: diverticulum, small intestine,