Document Type : Case Report

Authors

Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Objective: Gastrointestinal bleeding is one of the surgical emergencies that is routinely
visited in emergency departments. Although most of these patients are managed with
endoscopic modalities, some of them are managed with surgical interventions. Most of
emergency surgical interventions are done via laparotomy. With evolution in minimal
invasive surgery, the role of laparoscopic surgeries in emergency settings is on a rise.
Case Presentation: In this report we describe a case of lower gastrointestinal bleeding
that was presented with melena and during workups no bleeding lesion was detected
in colon, stomach or duodenum. Further investigations revealed bleeding of proximal
jejunum mass that was resected with the laparoscopic approach which is rarely used in
the emergency management of patients with gastrointestinal bleedings. Also, resection
and anastomosis of proximal jejunal loop was challenging in this case.
Conclusion: This report is intended to describe the feasibility of laparoscopy in proximal
small bowel lesion resection in emergency settings as well as the role of CT angiography in
detecting the source of obscure gastrointestinal bleeding

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