Recurrent bleeding from a duodenal diverticulum 8 years after endoscopic treatment: Case report and review of the literature

Citation
K. Fujii et al., Recurrent bleeding from a duodenal diverticulum 8 years after endoscopic treatment: Case report and review of the literature, HEP-GASTRO, 48(40), 2001, pp. 1058-1060
Citations number
23
Language
INGLESE
art.tipo
Review
Categorie Soggetti
Gastroenerology and Hepatology","da verificare
Journal title
HEPATO-GASTROENTEROLOGY
ISSN journal
0172-6390 → ACNP
Volume
48
Issue
40
Year of publication
2001
Pages
1058 - 1060
Database
ISI
SICI code
0172-6390(200107/08)48:40<1058:RBFADD>2.0.ZU;2-W
Abstract
A 70-year-old woman presented with a 2-day history of tarry stool. She had a history of hemorrhage from a duodenal diverticulum of the 2nd portion 8 y ears previously that had been managed successfully by endoscopic hemostasis . Initial gastrointestinal endoscopy revealed ulceration of the diverticulu m with no active bleeding; nevertheless the ulceration was presumed to be t he source of the tarry stool. Despite medical treatment, bleeding started a gain, but endoscopic ethanol injection achieved hemostasis. When bleeding s tarted yet again 8 days after the endoscopic therapy, the patient underwent diverticulectomy. Although duodenal diverticula are frequently found in the adult gastrointes tinal tract, they rarely show hemorrhage. Recently, there has been controve rsy about whether bleeding diverticula should be managed surgically or endo scopically. We describe for the first time a rare case of recurrent hemorrh age of a duodenal diverticulum after an 8-year interval; the case was treat ed by surgical diverticulectomy as a definitive therapy for the recurrent b leeding ulcer. We also present a review of the literature.