Severe gastrointestinal bleeding associated to massive jejunal diverticulosis and Sintrom® treatment

Abstract

. On ad-mission, her general state was poor, with pale skin and mucous membranes, and low blood pressure. A blood test revealedthat hemoglobin was 5 g/l. A coagulation test revealed an International Normalized Ratio of 3. We proceeded to correct co-agulation and to administer a blood transfusion; after hemodinamic stabilization, we performed an arteriography (Fig. 1),which showed bleeding points associated with the upper mesenteric artery. An urgently indicated operation was carried out,which revealed a massive diverticulosis of the jejunum-ileum without any other findings (Fig. 2). A resection of the involvedpart of the small bowel was performed with an end-to-end anastomosis. The patient died 24 hours afterwards in the criticalcare unit from multiple organ failure.