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KMID : 0359020070350040258
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 4 p.258 ~ p.261
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A Case of a Bleeding Dieulafoy’s Lesion in a Duodenal Diverticulum Treated by Endoscopic Hemoclipping
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Kim Nang-Hee
Kim Kyu-Jong
Han Seo-Ryong
Park Ji-Eun
Nam Ji-Hyeon
Kim Sung-Hoon
Shin Eun-Kyung
Kim Do-Hyun
Song Jun-Young
Kim Sung-Eun
Moon Won
Park Moo-In
Park Seun-Ja
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Abstract
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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. (Korean J Gastrointest Endosc 2007;35:258-261)
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KEYWORD
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Duodenal diverticulum, Dieulafoy’s lesion, Endoscopic hemostasis, Hemoclipping
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