Korean J Gastrointest Endosc.  2001 Jul;23(1):41-44.

A Case of a Bleeding Duodenal Diverticulum by a Dieulafoy-like Lesion

• Lee DH
• Kim EK
• Park SJ
• Ha HS
• Na IH
• Hwang YY
• Kim KH
• Chung NW
• Seong EY
• Kim SH
• Choi IS
• Song CS
• Shin YK

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.

Keyword

Duodenal diverticulum; Bleeding; Dieulafoy; Endoscopic treatment

MeSH Terms

Adult
Cholangiopancreatography, Endoscopic Retrograde
Cholangitis
Diverticulum*
Fistula
Gastric Mucosa
Hemorrhage*
Humans
Polyps
Prevalence
Ulcer