A Case of a Bleeding Duodenal Diverticulum by a Dieulafoy-like Lesion.
- Author:
Dong Hyeon LEE
1
;
Eun Kyu KIM
;
Sang Je PARK
;
Hong Seong HA
;
Il Hwan NA
;
Yun Yee HWANG
;
Kyung Hwan KIM
;
No Won CHUNG
;
Eun Young SEONG
;
Sang Hyun KIM
;
Ik Su CHOI
;
Chul Soo SONG
;
Yeong Kee SHIN
Author Information
1. Department of Internal Medicine, Samsun Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Duodenal diverticulum;
Bleeding;
Dieulafoy;
Endoscopic treatment
- MeSH:
Adult;
Cholangiopancreatography, Endoscopic Retrograde;
Cholangitis;
Diverticulum*;
Fistula;
Gastric Mucosa;
Hemorrhage*;
Humans;
Polyps;
Prevalence;
Ulcer
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(1):41-44
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Duodenal diverticula are first reported by Chomel in 1710. Duodenal diverticula are relatively common in adults with a prevalence of 23% in ERCP. The most duodenal diverticulum is asymptomatic. Complications such as obstruction, cholangitis, biliary stones, ulceration, perforation and hemorrhage can occur in approximately 10%. However, relatively few cases of bleeding from a duodenal diverticulum have been reported. The cause of bleeding from a duodenal diverticulum is uncertain and various suspected etiologies were suggested, such as ectopic gastric mucosa, stasis-induced ulceration, erosion into major vessels, aortoenteric fistulas, intradiverticular polyp, aspirin-induced erosion. We report a case of a bleeding duodenal diverticulum by a Dieulafoy-like lesion and suggest this lesion as one of possible causes of bleeding in duodenal diverticulum.
