Korean J Gastrointest Endosc.  2001 Jan;22(1):50-52.

A Case of Colonic Diverticulum Presented as Recurrent Bleeding

Affiliations
  • 1Department of Internal Medicine, Pusan National University College of Medicine, Pusan, Korea.

Abstract

Colonic diverticulum is uncommon disease of gastrointestinal diverticulum, but as many as 20% of patients with colonic diverticula suffer at least one episode of bleeding in their lifetimes. Herein, we report a case of hemostasis by capping recurrent bleeding diverticulum of the colon with clips. A 36-year-old man presented recurrent hematochezia. Emergent colonoscopy was performed and showed bleeding diverticulum. Although hypertonic saline with epinephrine was injected, there was still oozing on diverticulum, and so hemostasis by hemoclip was performed. After that procedure, there have been no bleeding episode. Although further cases will be required to prove the usefulness of the technique, this endoscopic treatment is recommended in colonic diverticulum of a small amount of bleeding or post-treatment bleeding.

Keyword

Diverticulum; Colon; Hemorrhage; Endoscopy; Clip

MeSH Terms

Adult
Colon*
Colonoscopy
Diverticulum
Diverticulum, Colon*
Endoscopy
Epinephrine
Gastrointestinal Hemorrhage
Hemorrhage*
Hemostasis
Humans
Epinephrine
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