A CASE OF HORIZONTAL DUODENAL DIVERTICULAR HEMORRHAGE SUCCESSFULLY TREATED BY ENDOSCOPIC CLIPPING

Abstract

An 84-year-old woman who was vomiting blood visited our hospitalʼs emergency department. Complete blood count revealed anemia and an increased BUN/creatinine ratio, so urgent endoscopy was performed. Images in the distant view revealed a diverticulum with a blood clot in the horizontal portion of the duodenum, which was not reachable by the scope. We therefore conducted a colonoscope, which made it possible to visualize the diverticulum. When the blood clot in the diverticulum was removed, exposed blood vessels were found, and hemostasis was subsequently performed using a clip. Duodenal diverticula are common gastrointestinal diverticula, but rarely cause bleeding. In the past, surgery and transcatheter arterial embolization were often performed for bleeding duodenal diverticula, but endoscopic hemostasis has now become more common. We report a case of diverticular bleeding in the horizontal portion of the duodenum that was stopped using a colonoscope.