A Case of a Bleeding Dieulafoy's Lesion in a Duodenal Diverticulum Treated by Endoscopic Hemoclipping.
- Author:
Nang Hee KIM
1
;
Kyu Jong KIM
;
Seo Ryong HAN
;
Ji Eun PARK
;
Ji Hyeon NAM
;
Sung Hoon KIM
;
Eun Kyung SHIN
;
Do Hyun KIM
;
Jun Young SONG
;
Sung Eun KIM
;
Won MOON
;
Moo In PARK
;
Seun Ja PARK
Author Information
1. Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea. drkkj@paran.com
- Publication Type:Case Report
- Keywords:
Duodenal diverticulum;
Dieulafoy's lesion;
Endoscopic hemostasis;
Hemoclipping
- MeSH:
Diverticulum*;
Duodenum;
Endoscopes;
Hemorrhage*;
Hemostasis;
Hemostasis, Endoscopic;
Jaundice;
Pancreatitis
- From:Korean Journal of Gastrointestinal Endoscopy
2007;35(4):258-261
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A duodenal diverticulum is common and usually originates in the second portion of the duodenum. The majority of diverticula are asymptomatic; however, they may sometimes present with symptoms such as obstruction, hemorrhage, perforation, jaundice and pancreatitis. Active bleeding from a duodenal diverticulum is rare, and moreover, Dieulafoy's lesion as a cause is quite rare with very few cases reported so far. The use of endoscopic methods instead of surgery in achieving hemostasis has been on the increase with the widespread use and improvement in endoscope instrumentation and accessories. Of these methods, the use of endoscopic hemoclipping for Dieulafoy's lesion is considered more effective and safe than the use of other methods, such as injection and thermal methods. We report here a case of a bleeding Dieulafoy's lesion in a duodenal diverticulum treated by endoscopic hemoclipping.
