SUCCESSFUL ENDOSCOPIC HEMOSTASIS OF ILEAL DIVERTICULAR HEMORRHAGE THAT HAD BEEN DIAGNOSED BY DYNAMIC COMPUTED TOMOGRAPHY

Abstract

A 69-year-old man visited our hospital with massive melena and hemorrhagic shock. Emergency colonoscopy was performed, but could not detect the source of bleeding. Abdominal dynamic computed tomography (CT) revealed extravasation of blood in a lumen protruding from the ileal end, suggesting bleeding from an ileal diverticulum. Repeat colonoscopy was performed and identified active bleeding from an ileal diverticulum that was located approximately 10cm from the ileocecal junction. We successfully performed endoscopic hemostasis with hemoclips.
Dynamic CT was highly specific for diagnosing the bleeding site and was useful for planning the treatment procedure.