Korean J Gastrointest Endosc.  2007 Oct;35(4):258-261.

A Case of a Bleeding Dieulafoy's Lesion in a Duodenal Diverticulum Treated by Endoscopic Hemoclipping

• Kim NH
• Kim KJ
• Han SR
• Park JE
• Nam JH
• Kim SH
• Shin EK
• Kim DH
• Song JY
• Kim SE
• Moon W
• Park MI
• Park SJ

Abstract

A duodenal diverticulum is common and usually originates in the second portion of the duodenum. The majority of diverticula are asymptomatic; however, they may sometimes present with symptoms such as obstruction, hemorrhage, perforation, jaundice and pancreatitis. Active bleeding from a duodenal diverticulum is rare, and moreover, Dieulafoy's lesion as a cause is quite rare with very few cases reported so far. The use of endoscopic methods instead of surgery in achieving hemostasis has been on the increase with the widespread use and improvement in endoscope instrumentation and accessories. Of these methods, the use of endoscopic hemoclipping for Dieulafoy's lesion is considered more effective and safe than the use of other methods, such as injection and thermal methods. We report here a case of a bleeding Dieulafoy's lesion in a duodenal diverticulum treated by endoscopic hemoclipping.

Keyword

Duodenal diverticulum; Dieulafoy's lesion; Endoscopic hemostasis; Hemoclipping

MeSH Terms

Diverticulum*
Duodenum
Endoscopes
Hemorrhage*
Hemostasis
Hemostasis, Endoscopic
Jaundice
Pancreatitis