small bowel gastrointestinal hemorrhage

Etiology

• angiodysplasia (> 60 years)
• Peutz-Jeghers syndrome (< 20 years)
• Meckel's diverticulum (20-60 years)
• hemangioma (< 20 years)
• small intestinal cancer (> 50 years)
• hereditary hemorrhagic telangiectasia (> 50 years)

Clinical manifestations

• intermittent, generally occult bleeding -> angiodysplasia
• perioral hyperpigmentation, bowel obstruction -> Peutz-Jeghers syndrome
• possible abdominal pain -> Meckel's diverticulum
• possible cutaneous hemangiomas -> hemangioma
• weight loss, abdominal pain -> small intestinal cancer
• mucocutaneous telangiectasias -> hereditary hemorrhagic telangiectasia

Laboratory

• see gastrointestinal hemorrhage

Diagnostic procedures

• see gastrointestinal hemorrhage

Radiology

• see gastrointestinal hemorrhage

Management

• hemodynamic stabilization
• further management guided by underlying pathology

More general terms

• gastrointestinal hemorrhage