Abstract | INTRODUCTION: Although duodenal diverticula are common, periampullary duodenal diverticula are rare. Periampullary duodenal diverticula are usually asymptomatic and may be difficult to diagnose and treat. However, they may present with massive bleeding, requiring prompt diagnosis. CASE PRESENTATION: We report the case of a 71-year-old Asian woman with bleeding from a periampullary duodenal diverticulum. She presented with severe anemia and tarry stools. Two examinations using a forward-viewing endoscope did not identify the source of the bleeding. However, examination using a side-viewing endoscope found an exposed bleeding vessel overlying the bile duct within a periampullary diverticulum of the descending part of the duodenum. The bleeding was successfully controlled by using hemostatic forceps. CONCLUSIONS:
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Authors | Noriko Nishiyama, Hirohito Mori, Kazi Rafiq, Hideki Kobara, Shintarou Fujihara, Mitsuyoshi Kobayashi, Tsutomu Masaki |
Journal | Journal of medical case reports
(J Med Case Rep)
Vol. 6
Pg. 367
(Oct 26 2012)
ISSN: 1752-1947 [Electronic] England |
PMID | 23101939
(Publication Type: Journal Article)
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