Successful Management of Periampullary Diverticular Bleeding with Hemoclipping Using Side-viewing Endoscope during Endoscopic Retrograde Cholangiopancreatography.
10.4166/kjg.2016.67.3.146
- Author:
Bo Geun PARK
1
;
Young Wook YOO
;
Joon Cheol SONG
;
Sung Hee GAM
;
Mi Sung KIM
;
Byeong Seong KO
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Reports
- Keywords:
Bleeding;
Periampullary diverticulum;
Hemoclip;
Duodenoscope
- MeSH:
Aged;
Ampulla of Vater/surgery;
Cholangiopancreatography, Endoscopic Retrograde;
Diverticulum/*diagnosis/surgery;
Gastrointestinal Hemorrhage/etiology/*therapy;
Humans;
Male;
Surgical Instruments;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2016;67(3):146-149
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Periampullary diverticulum is commonly found during endoscopy and can occur at any age although its prevalence increases with age. Periampullary diverticular bleeding is a rare and difficult to diagnose during clinical practice because of its unique appearance and location. This often can lead to massive bleeding and interfere with adequate bleeding control. Endoscopic management on duodenal diverticular bleeding is limited compared to colonic diverticular bleeding due to lack of experience. Herein, we report a case of active bleeding from a periampullary diverticulum during bile duct stone extraction diagnosed by side-viewing endoscope and successfully controlled using hemoclips without any complications.
