A 64-year-old male suffering from anemia and tarry stools was comfirmed gastric erosions and duodenitis by endoscopic examination in 1998. Subsequently, he was beewing monitered with prescribed oral H2 blockers.
However in May 2000, the patient complained of tarry stools just like the previous conditions. No special findings were found to show the source of the bleeding.
On December 15th 2000, the patient was admitted into our hospital, due to his complaint of tarry stools. The urgent endoscopic examination revealed the bicephalic diverticulum on the adoral papilla. There was palsatile bleeding found on the saddle which placed inbetween the two chambers consisting of the bicephalic diverticulum.
Even after the treatment of electric-coagulation, the bleeding reoccurred twice. However after using the additional clipping, that condition was completely under control.
We present this as being extremely interesting case.
