A CASE OF HEMORRHAGE FROM A DUODENAL DIVERTICULUM TREATED WITH GOLD PROBE

Abstract

A 83-year-old woman was admitted with a complaint of melena. Endoscopic examination revealed a diverticulum with an exposed vessel in the second portion of the duodenum. Clipping and HSE (hypertonic saline epinephrine solution) injection were performed around the exposed vessel because it seemed to be the bleeding point. However, she developed massive melena again 2 months later. Endoscopy revealed active bleeding from the diverticulum. Since HSE and ethanol injection were failed to control the bleeding, hemostasis using Gold Probe was performed and no hemorrhage occurred thereafter. This is the first report of successful hemostasis achieved by using Gold Probe against bleeding from duodenal diverticulum.