Korean J Gastrointest Endosc.  2007 Dec;35(6):441-444.

Hemoclipped Dieulafoy's Lesion in Giant Diverticulum in the 3rd Portion of Duodenum

Affiliations
  • 1Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. ysydr@dreamwiz.com
  • 2Department of Internal Medicine, Ulsan Hospital, Ulsan, Korea.

Abstract

A duodenal diverticulum is common in the second portion of the duodenum and can occur at any age. An obstruction, bleeding, perforation, diverticulitis are not an uncommon complicationa of duodenal diverticulum. As a rare complication, bleeding in the duodenal diverticulum may be massive, and duodenal diverticulum is resected primarily as a result of the difficulty in determining the site of bleeding. However, there has been a recent increase in endoscopic diagnosis and the treatment of diverticular bleeding. Band ligation increases the risk of duodenal diverticular perforation because of the thin diverticular wall. An endoscopic hemoclip is a preferable method for endoscopic sclerotherapy. We report a 48- year-old man with a giant duodenal diverticulum that was treated with a hemoclip. The duodenal diverticular perforation was treated effectively with supportive care.

Keyword

Duodenal diverticulum; Dieulafoy's lesion; Hemoclip

MeSH Terms

Diagnosis
Diverticulitis
Diverticulum*
Duodenum*
Hemorrhage
Ligation
Sclerotherapy
Full Text Links
  • KJGE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr