Diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleeding
Abstract A 65‐year‐old man with a history of chronic renal failure and ischemic heart disease who was receiving aspirin therapy was admitted for recurrent melena. Initial evaluation revealed severe anemia. Other than a diverticulum in the third part of the duodenum, the findings of upper and lower g...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-11-01
|
| Series: | JGH Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/jgh3.70051 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850145946999980032 |
|---|---|
| author | Yasuhiko Hamada Hayato Nakagawa |
| author_facet | Yasuhiko Hamada Hayato Nakagawa |
| author_sort | Yasuhiko Hamada |
| collection | DOAJ |
| description | Abstract A 65‐year‐old man with a history of chronic renal failure and ischemic heart disease who was receiving aspirin therapy was admitted for recurrent melena. Initial evaluation revealed severe anemia. Other than a diverticulum in the third part of the duodenum, the findings of upper and lower gastrointestinal endoscopies and computed tomography were unremarkable. Capsule endoscopy detected altered blood in the ileum; however, balloon‐assisted enteroscopy found no definitive source of bleeding. Three years later, he presented with recurrent melena and hemorrhagic shock. Upper gastrointestinal endoscopy identified Dieulafoy's lesion within the duodenal diverticulum. Hemostasis was achieved using hemoclips. No recurrence of bleeding was observed during 4 years of follow‐up. The findings from this case highlight the diagnostic and therapeutic challenges of managing obscure gastrointestinal bleeding due to Dieulafoy's lesion in a diverticulum in the third part of the duodenum. Duodenal diverticular bleeding should be included in the differential diagnoses for patients with obscure gastrointestinal bleeding. |
| format | Article |
| id | doaj-art-438d48122e0648eea8cfcf57f278be5d |
| institution | OA Journals |
| issn | 2397-9070 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | JGH Open |
| spelling | doaj-art-438d48122e0648eea8cfcf57f278be5d2025-08-20T02:27:58ZengWileyJGH Open2397-90702024-11-01811n/an/a10.1002/jgh3.70051Diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleedingYasuhiko Hamada0Hayato Nakagawa1Department of Gastroenterology and Hepatology Mie University Hospital Tsu JapanDepartment of Gastroenterology and Hepatology Mie University Hospital Tsu JapanAbstract A 65‐year‐old man with a history of chronic renal failure and ischemic heart disease who was receiving aspirin therapy was admitted for recurrent melena. Initial evaluation revealed severe anemia. Other than a diverticulum in the third part of the duodenum, the findings of upper and lower gastrointestinal endoscopies and computed tomography were unremarkable. Capsule endoscopy detected altered blood in the ileum; however, balloon‐assisted enteroscopy found no definitive source of bleeding. Three years later, he presented with recurrent melena and hemorrhagic shock. Upper gastrointestinal endoscopy identified Dieulafoy's lesion within the duodenal diverticulum. Hemostasis was achieved using hemoclips. No recurrence of bleeding was observed during 4 years of follow‐up. The findings from this case highlight the diagnostic and therapeutic challenges of managing obscure gastrointestinal bleeding due to Dieulafoy's lesion in a diverticulum in the third part of the duodenum. Duodenal diverticular bleeding should be included in the differential diagnoses for patients with obscure gastrointestinal bleeding.https://doi.org/10.1002/jgh3.70051balloon‐assisted enteroscopyduodenal diverticular bleedingobscure gastrointestinal bleeding |
| spellingShingle | Yasuhiko Hamada Hayato Nakagawa Diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleeding JGH Open balloon‐assisted enteroscopy duodenal diverticular bleeding obscure gastrointestinal bleeding |
| title | Diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleeding |
| title_full | Diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleeding |
| title_fullStr | Diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleeding |
| title_full_unstemmed | Diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleeding |
| title_short | Diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleeding |
| title_sort | diverticular bleeding in the third part of the duodenum as a cause of overt obscure gastrointestinal bleeding |
| topic | balloon‐assisted enteroscopy duodenal diverticular bleeding obscure gastrointestinal bleeding |
| url | https://doi.org/10.1002/jgh3.70051 |
| work_keys_str_mv | AT yasuhikohamada diverticularbleedinginthethirdpartoftheduodenumasacauseofovertobscuregastrointestinalbleeding AT hayatonakagawa diverticularbleedinginthethirdpartoftheduodenumasacauseofovertobscuregastrointestinalbleeding |