Abstract
A 67-year-old female visited at our hospital with the chief complaints of dizziness and general malaise from three days before. She had never been noticed melena due to old fashioned lavatory at her house. On admission, laboratory tests showed 5.3g/dl of Hb and she fainted at a shock state after abdominal computed tomography. Digital examination of her rectum showed bloody stool. Therefore an emergent upper gastrointestinal endoscopy was done. Endoscopy revealed oozing bleeding from the small diverticulum in a large diverticulum in the third portion of the duodenum, and the hemorrhage was successfully treated with suture of the orfice of the small diverticulum by endoscopic clipping. Although hemorrhagic duodenal diverticulae are rare, their hemostasis were difficult and surgery should be often applied. Endoscopic clipping like as closing the orfice of the diverticulum must be an easy and effective procedure for hemorrhagic duodenal diverticulum.
