Duodenal Perforation due to Hemoclipping for the Dieulafoy's Lesion in a Duodenal Diverticulum.
- Author:
Hyeuk PARK
1
;
Kwang Hyun KO
;
Jeong Ki KIM
;
Hong Youp CHOI
;
Sung Pyo HONG
;
Sung Kyu HWANG
;
Pil Won PARK
;
Kyu Sung RIM
Author Information
1. Department of Internal Medicine, Pochon CHA University College of Medicine, Pocheon, Korea. bluehipp@chol.com
- Publication Type:Case Report
- Keywords:
Duodenal diverticulum;
Dieulafoy's lesion;
Hemoclip;
Perforation
- MeSH:
Diverticulitis;
Diverticulum*;
Duodenal Obstruction;
Duodenum;
Electrocoagulation;
Endoscopy;
Hemorrhage;
Ligation;
Sclerotherapy
- From:Korean Journal of Gastrointestinal Endoscopy
2005;30(3):160-163
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Duodenal diverticulum usually originates in the second portion of the duodenum and occasionally causes duodenal obstruction, hemorrhage, perforation and diverticulitis. A bleeding from Dieulafoy's lesion in a duodenal diverticulum is rare. It is not easily dignosed and treated by forward viewing endoscopy. Recently, a case was reported describing the hemorrhage from the Dieulafoy's lesion in a duodenal diverticulum which was treated by hemoclip with forward viewing endoscopy. Hemoclip application is considered to be the most appropriate endoscopic treatment, because sclerotherapy, electrocoagulation or band ligation for Dieulafoy's lesion in the duodenal diverticulum may increase risk of duodenal perforation. We report a case of duodenal perforation due to hemoclip application for the treatment of Dieulafoy's lesion in a duodenal diverticulum.
