A Case of Massive Duodenal Diverticular Bleeding Treated with Endoscopic Hemostasis.
- Author:
Jang Eon KIM
1
;
Jin Ho CHOI
;
Kyn Heum KWON
;
Ji Min OH
;
Suk Ho HONG
;
Sang Hyuk LEE
;
Jae Myeong LEE
;
Bong Ryong KIM
Author Information
1. Department of Internal Medicine, Seoul Medical Center, Seoul, Korea. jangeon12@naver.com
- Publication Type:Case Report
- Keywords:
Duodenal Diseases;
Diverticulum;
Gastrointestinal Hemorrhage
- MeSH:
Diverticulum;
Duodenal Diseases;
Duodenum;
Endoscopes;
Gastrointestinal Hemorrhage;
Hemorrhage;
Hemostasis;
Humans;
Vision, Ocular
- From:Journal of the Korean Geriatrics Society
2008;12(3):165-170
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Duodenal diverticulum is commonly found at 2nd portion of duodenum undergoing duodenal procedure. It is generally asymptomatic and not harmful. But occasionally it causes massive upper gastrointestinal bleeding. Bleeding from duodenal diverticulum is very difficult to diagnose and manage since vision of the lesion by conventional direct endoscope is limited. Recently, emphasis has been placed on aggressive and careful endos- copic diagnosis and hemostasis with hemoclip or local injection. We report a case of massive duodenal diverti- cular bleeding on a senile patient which was treated successfully by endoscopic hemoclip therapy.