Korean J Gastroenterol.
2009 Feb;53(2):111-115.
Sigmoid Colon Diverticular Bleeding in a 75-year-old Woman
- Affiliations
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- 1Department of Internal Medicine, Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea. twentees@eulji.ac.kr
- 2Department of Pathology, Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea.
- 3Department of Surgery, Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea.
- 4Department of Radiology, Eulji Medical Center, Eulji University College of Medicine, Seoul, Korea.
Abstract
- Most common cause of brisk hematochezia is diverticular bleeding in Western countries. It occurs in 15% of patients with diverticulosis and one-third of them appear to be massive. Most of diverticulosis in Western countries occur in the left colon but the right colon is more common in Korea. Especially, the reports of diverticular bleeding on left colon are rare in Korea. We report a case presenting with multiple diverticuli complicated by recurrent massive bleeding restricted to the left colon. 75-year-old female was admitted due to hematochezia and dizziness. On past history, two years and two weeks ago respectively, she was treated of diverticular bleeding with and without diverticulitis. Hemoglobin level was 9.8 g/dL. On Colonoscopy, numerous diverticuli were seen at sigmoid colon upto splenic flexure which showed fresh blood clots in the lumen. We diagnosed her as recurrent massive diverticular bleeding on the sigmoid colon. She received elective laparoscopic left hemicolectomy.
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