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Massive Hematochezia from a Large Bleeding Duodenal Diverticulum
BACKGROUND: Duodenal diverticula are a rare cause of gastrointestinal (GI) bleeding despite being a common finding in the GI tract. We present a case of a patient who had massive hematochezia due to a complex duodenal diverticulum. Case Presentation. A 74-year-old Hispanic female presented initially...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8208870/ https://www.ncbi.nlm.nih.gov/pubmed/34211789 http://dx.doi.org/10.1155/2021/5585264 |
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author | Esteban, Marcus Juan Sureen, Amit Herlihy, Daniel Elhanafi, Sherif Zuckerman, Marc J. |
author_facet | Esteban, Marcus Juan Sureen, Amit Herlihy, Daniel Elhanafi, Sherif Zuckerman, Marc J. |
author_sort | Esteban, Marcus Juan |
collection | PubMed |
description | BACKGROUND: Duodenal diverticula are a rare cause of gastrointestinal (GI) bleeding despite being a common finding in the GI tract. We present a case of a patient who had massive hematochezia due to a complex duodenal diverticulum. Case Presentation. A 74-year-old Hispanic female presented initially with generalized weakness. During admission, the patient had an episode of a large amount of hematochezia and had to be transferred to the intensive care unit (ICU). Upper endoscopy was done using a forward-viewing endoscope which revealed a bleeding complex duodenal diverticulum. Successful hemostasis was achieved through epinephrine injection followed by placement of hemostatic clips. CONCLUSION: Although rare, gastroenterologists need to be aware of duodenal diverticulum as a possible cause of gastrointestinal bleed. It could be life-threatening, and thus, prompt diagnosis and management is necessary. |
format | Online Article Text |
id | pubmed-8208870 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-82088702021-06-30 Massive Hematochezia from a Large Bleeding Duodenal Diverticulum Esteban, Marcus Juan Sureen, Amit Herlihy, Daniel Elhanafi, Sherif Zuckerman, Marc J. Case Rep Gastrointest Med Case Report BACKGROUND: Duodenal diverticula are a rare cause of gastrointestinal (GI) bleeding despite being a common finding in the GI tract. We present a case of a patient who had massive hematochezia due to a complex duodenal diverticulum. Case Presentation. A 74-year-old Hispanic female presented initially with generalized weakness. During admission, the patient had an episode of a large amount of hematochezia and had to be transferred to the intensive care unit (ICU). Upper endoscopy was done using a forward-viewing endoscope which revealed a bleeding complex duodenal diverticulum. Successful hemostasis was achieved through epinephrine injection followed by placement of hemostatic clips. CONCLUSION: Although rare, gastroenterologists need to be aware of duodenal diverticulum as a possible cause of gastrointestinal bleed. It could be life-threatening, and thus, prompt diagnosis and management is necessary. Hindawi 2021-06-08 /pmc/articles/PMC8208870/ /pubmed/34211789 http://dx.doi.org/10.1155/2021/5585264 Text en Copyright © 2021 Marcus Juan Esteban et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Esteban, Marcus Juan Sureen, Amit Herlihy, Daniel Elhanafi, Sherif Zuckerman, Marc J. Massive Hematochezia from a Large Bleeding Duodenal Diverticulum |
title | Massive Hematochezia from a Large Bleeding Duodenal Diverticulum |
title_full | Massive Hematochezia from a Large Bleeding Duodenal Diverticulum |
title_fullStr | Massive Hematochezia from a Large Bleeding Duodenal Diverticulum |
title_full_unstemmed | Massive Hematochezia from a Large Bleeding Duodenal Diverticulum |
title_short | Massive Hematochezia from a Large Bleeding Duodenal Diverticulum |
title_sort | massive hematochezia from a large bleeding duodenal diverticulum |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8208870/ https://www.ncbi.nlm.nih.gov/pubmed/34211789 http://dx.doi.org/10.1155/2021/5585264 |
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