Korean Journal of Gastrointestinal Endoscopy 2000;21(3): 746-749.
대량의 상부 위장관 출혈을 유발한 십이지장게실 1 예 ( A Case of Massive Upper Gastrointestinal Bleeding from a Duodenal Diverticulum )
김경원(Gyung Won Kim),김은영(Eun Young Kim),정규영(Gyu Young Jung),최정호(Jung Ho Choi),구영훈(Young Hun Goo),박승근(Seung Geun Park),박희욱(Hee Wook Park),옥종한(Jong Hong Han)
Abstract
Duodenal diverticulum is well-known pathologic entity. The incidence of duodenal diverticulum varies from 5% to 23% in the general population. Most of diverticula are asymptomatic and have been incidentally observed in upper gastrointestinal series or upper gastrointestinal endoscopy. It usually occurs in the second portion and the medial side of duodenum. The complications of duodenal diverticulum are rare but often result in significant morbidity. They include obstruction, cholelithiasis, ascending cholangitis, ulcers, hemorrhage and perforation. Major gastrointestinal hemorrhage resulting from an inflamed or ulcerated duodenal diverticulum is an uncommon event and it can be treated endoscopically. We report a case of massive upper gastrointestinal bleeding from a duodenal diverticulum which was treated endoscopically.
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