A Case of Diverticulum of the Ileum with Repeating Hemorrhage Treated by Laparoscopic Surgery

Tatsuo Ikeno, Mizuho Machida, Kazunori Ozaki, Toshiyuki Sato, Kazuhiro Hanazaki and Hideyuki Ichikawa

Department of Surgery, Naganoken-Koseiren, Shinonoi General Hospital

A 48-year-old man admitted for massive melena whose bleeding origin was not found clearly by esophagogastroduodenoscopy and total colonoscopy was found in colonoscopic findings to have fresh blood flowing from the terminal ileum. Computed tomography with enhanced contrast showed hemorrhage of the terminal ileum. Angiography identified bleeding from the branch of the ileocolic artery, so we conducted embolectomy with sponzel powder for this artery. Two weeks later, the patient recovered and was discharged without complaint. Five days later, however, he was readmitted for melena. We suspected strongly repeating hemorrhage from the ileum. Laparoscopic findings showed diverticulum of the ileum with hemorrhage, necessitating laparoscopic-assisted resection of the diverticulum. The postoperative course was smooth without complications. He was discharged 11 days after surgery and continues to do well.

Key words
diverticulum of the ileum, laparoscopy-assisted surgery

Reprint requests
Tatsuo Ikeno Department of Surgery, Naganoken-Koseiren, Shinonoi General Hospital
666-1 Ai, Shinonoi, Nagano, 388-8004 JAPAN

Accepted
April 26, 2006

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