Successful endoscopic hemostasis for bleeding from an acquired ileal diverticulum.

Atsuhiko Murata, Takashi Osoegawa, Kentaro Yodoe, Daisuke Yoshimura, Toshiaki Ochiai, Teppei Kabemura, Kazuhiko Nakamura

Research output: Contribution to journalArticle

Abstract

We herein report successful endoscopic hemostasis in a patient with a bleeding from acquired ileal diverticulum. A 65-year-old woman was introduced to our hospital after the sudden onset of painless hematochezia. When emergency colonoscopy was performed, the site of bleeding could not be identified because of extensive blood pooling in the colon and ileocecal region. After admission, repeat colonoscopy with a transparent hood device after bowel preparation disclosed oozing of blood from an ileal diverticulum approximately 15 cm proximal to the ileocecal junction. We performed endoscopic therapy with injection of a hypertonic saline-epinephrine solution and placement of additional hemoclips in the diverticulum. Since the latter treatment, the patient had no recurrent hematochezia, and occult blood tests in stool had been negative. In cases of lower gastrointestinal bleeding, bleeding from an acquired ileal diverticulum should be considered and the terminal ileum carefully observed.

Original languageEnglish
Pages (from-to)42-45
Number of pages4
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume99
Issue number2
Publication statusPublished - Jan 1 2008

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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