Two Cases of Bleeding Angiodysplasias Within Duodenal Diverticulum

Chatila, Ahmed; Gou, Eric; Abdulla, Hamza; Merwat, Sheharyar

doi:10.14309/crj.0000000000000027

Cited by 5 publications

(7 citation statements)

References 10 publications

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“…The precise incidence of duodenal diverticula is unknown, but based on autopsy data, it ranges from 3% to 22%. Radiologic findings on the upper gastrointestinal series estimate it at 2% to 5% [ 3 , 5 ]. In a large series of 624 patients who underwent endoscopic retrograde cholangiopancreatography, the reported incidence was 23% [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Less common causes of bleeding duodenal diverticula include Dieulafoy lesions in the diverticulum and bleeding secondary to intradiverticular polyps [ 9 , 10 ]. Bleeding due to diverticular angiodysplasia, such as in our case, is exceptionally rare [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…In our case, we were fortunate to locate the bleeding source with a forward-viewing scope. In some cases, however, a side-viewing duodenoscope may be necessary [ 5 , 11 , 12 ]. Diverticulectomy previously was the primary treatment for the duodenal diverticulum [ 3 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Diverticulectomy previously was the primary treatment for the duodenal diverticulum [ 3 , 13 ]. With the advances in endoscopy, various endoscopic therapeutic strategies such as injection with epinephrine, bipolar coagulation, argon plasma coagulation (APC), and hemostatic clips have been used for the treatment of bleeding duodenal diverticula [ 5 , 9 , 11 , 12 , 14 ]. In our case, successful hemostasis was achieved with epinephrine injection followed by placement of hemostatic clips.…”

Section: Discussionmentioning

confidence: 99%

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Massive Hematochezia from a Large Bleeding Duodenal Diverticulum

Esteban

Sureen

Herlihy

et al. 2021

Case Reports in Gastrointestinal Medicine

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Massive Hematochezia from a Large Bleeding Duodenal Diverticulum

Esteban

Sureen

Herlihy

et al. 2021

Case Reports in Gastrointestinal Medicine

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“…She was treated with epinephrine injection (3/10,000), two hemoclips, and high-dose Protonix. With the advances in endoscopy, various endoscopic interventions have been used for the treatment of bleeding duodenal diverticula, including epinephrine injections, hemoclips, bipolar coagulation, and argon plasma coagulation [1][2][3][4][5][6].…”

Section: Hemorrhagementioning

confidence: 99%

An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction

Ta¹,

Sandhu²,

Mouchli³

2022

Cureus

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Intraluminal duodenal diverticulum (IDD) is a rare congenital anomaly resulting from the failure of the duodenum to recanalize during embryogenesis leaving a duodenal diaphragm or web within the lumen of the duodenum. In theory, the peristaltic force gradually stretches the tissue over time forming a diverticulum within the duodenal lumen. Identification of IDD by endoscopy or diagnostic imaging can be difficult, these lesions can be mistaken for other lesions or the collapsed diverticulum can be overlooked. The median age of presentation is the fourth decade. Although most cases are asymptomatic, some can present with vague abdominal complaints such as bloating, nausea, abdominal discomfort, or pain. Complications of IDD are intestinal bleeding, biliary pancreatic symptoms, intestinal obstruction, and perforation. Management of IDD complications could be challenging since data are limited. We present an unusual case of a 78-year-old female presenting with acute chest pain, palpitations, and incidental findings of IDD and pancreatic divisum. Her course was complicated by recurrent gastrointestinal bleeding and small bowel obstruction.

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A tricky upper GI bleeding: Duodenal intra-diverticular angioectasia treated by endoscopic band ligation

Zimmer

Exner

2021

Clinics and Research in Hepatology and Gastroenterology

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Two Cases of Bleeding Angiodysplasias Within Duodenal Diverticulum

Cited by 5 publications

References 10 publications

Massive Hematochezia from a Large Bleeding Duodenal Diverticulum

Massive Hematochezia from a Large Bleeding Duodenal Diverticulum

An Uncommon Case of Intraluminal Duodenal Diverticulum Complicated by Recurrent Gastrointestinal Bleeding and Small Bowel Obstruction

A tricky upper GI bleeding: Duodenal intra-diverticular angioectasia treated by endoscopic band ligation

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