Korean Journal of Gastrointestinal Endoscopy 2001;23(1): 41-44.
Dieulafoy 양 병변에 의한 십이지장게실 출혈 1 예 ( A Case of a Bleeding Duodenal Diverticulum by a Dieulafoy - like Lesion )
이동현(Dong Hyeon Lee),김은규(Eun Kyu Kim),박상제(Sang Je Park),하홍성(Hong Seong Ha),나일환(Il Hwan Na),황윤이(Yun Yee Hwang),김경환(Kyung Hwan Kim),정노원(No Won Chung),성은영(Eun Young Seong),김상현(Sang Hyun Kim),최익수(Ik So Choi),송철수(Chul Soo Song),신영기(Yeong Kee Shin)
Abstract
Duodenal diverticula are first reported by Chomel in 1710. Duodenal diverticula are relatively common in adults with a prevalence of 23% in SRCP. The most duodenal diverticulum is asymptomatic. Complications such as obstruction, cholangitis, blliary stones, ulceration, perforation and hemorrhage can occur in approximately 10%. However, relatively few cases of bleeding from a duodenal diverticulum have been reported. The cause of bleeding from a duodenal diverticulum is uncertain and various suspected etiologies were suggested, such as ectopic gastric mucosa, stasis-induced ulceration, erosion into major vessels, aortoenteric fistuias, intradiverticujar polyp, aspirin-induced erosion. We report a case of a bleeding duodenal diverticulum by a Dieulafoy-like lesion and suggest this 1esion as one of posslble causes of blee4ng in duodenal diverticulum. (Korean J Gastroiatest Endosc 2001;23:41-44)
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