ACASE OF HEMORRHAGE FROM INTRADIVERTICULUR ULCER IN THEI SECOND PORTION OF DUODENUM TREATED WITH ENDOSCOPIC INJECTION THERAPY

Abstract

A case of diverticular bleeding in the second portion of duodenum was described. A62-year-01d female who had been suffered from systemic lupus erythematosis and pulmonary fibrosis, was admitted to our hospital with complaints of hernatemesis and tarry stool.Laboratory data showed anemia and endoscopic examination revealed an intradiverticulum ulcer with an eroded vessel in the second portion of duodenum. Endoscopicinjection therapy with pure ethanol and hypersaline was successful and 3 days later, theeroded vessel was disappeared. Bleeding from the diverticulum is rare and difficu.lt to bediagnosed. This is one of rare cases which showed the usefulness of endoscopy in bothdiagnosis and treatment of intradiverticular ulcer in the duodenum.