Korean J Gastrointest Endosc > Volume 30(3); 2005 > Article
Korean Journal of Gastrointestinal Endoscopy 2005;30(3): 160-163.
십이지장 게실의 Dieulafoy 병변에서 지혈클립 시술 후 발생한 천공 1예
박 혁·고광현·김정기·최홍엽·홍성표·황성규·박필원·임규성
포천중문의과대학교 분당차병원 내과학교실
Duodenal Perforation due to Hemoclipping for the Dieulafoy's Lesion in a Duodenal Diverticulum
Hyeuk Park, M.D., Kwang Hyun Ko, M.D., Jeong Ki Kim, M.D., Hong Youp Choi, M.D., Sung Pyo Hong, M.D., Sung Kyu Hwang, M.D., Pil Won Park, M.D. and Kyu Sung Rim, M.D.
Department of Internal Medicine, Pochon CHA University College of Medicine, Pocheon, Korea
Abstract
Duodenal diverticulum usually originates in the second portion of the duodenum and occasionally causes duodenal obstruction, hemorrhage, perforation and diverticulitis. A bleeding from Dieulafoy's lesion in a duodenal diverticulum is rare. It is not easily dignosed and treated by forward viewing endoscopy. Recently, a case was reported describing the hemorrhage from the Dieulafoy's lesion in a duodenal diverticulum which was treated by hemoclip with forward viewing endoscopy. Hemoclip application is considered to be the most appropriate endoscopic treatment, because sclerotherapy, electrocoagulation or band ligation for Dieulafoy's lesion in the duodenal diverticulum may increase risk of duodenal perforation. We report a case of duodenal perforation due to hemoclip application for the treatment of Dieulafoy's lesion in a duodenal diverticulum. (Korean J Gastrointest Endosc 2005;30:160⁣163)
Key Words: Duodenal diverticulum, Dieulafoy's lesion, Hemoclip, Perforation
주요어: 십이지장 게실, Dieulafoy 병변, 지혈클립, 천공
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