Ulcerated Jejunal Diverticulum Obscure Cause of Massive Upper Gastrointestinal Hemorrhage: A Case Report

SINCE THE first report of a jejunal diverticulum associated with hemorrhage in 1844 2 there have been 24 cases reported up to 1960. 6 Six additional cases have been found in the literature since then. 1,3-7 This case is reported because of its dramatic onset, rapid hospital course, and because the actual bleeding point in a jejunal diverticulum was demonstrated in an operation which has been previously reported in three cases. 6 The importance of recognizing this entity as one of the many obscure causes of upper gastrointestinal hemorrhage is emphasized. Report of Case A 67-year-old white woman was admitted to the Presbyterian-St. Luke's Hospital as an emergency case because she had passed bloody stools during the preceding 24 hours with no previous history of melena. She had been treated intermittently for chronic anemia, and she had a known hiatus hernia with recent episodes of gastric distress which were attributed