Korean J Gastrointest Endosc > Volume 35(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(6): 441-444.
클립으로 지혈된 십이지장 제3부의 거대 게실 내 Dieulafoy 병변
인제대학교 의과대학 내과학교실, *울산병원 내과
Hemoclipped Dieulafoy's Lesion in Giant Diverticulum in the 3rd Portion of Duodenum
Mo Se Kim, M.D., Sung Yeun Yang, M.D., Jae Hwan Kim, M.D., Su Kyoung Kwon, M.D., Tae Hee Kim, M.D., Sang Hoon Seol, M.D., Eun Ji Noh, M.D., Doo Gun Chae, M.D.* and Jung Hae Koh, M.D.
Department of Internal Medicine, Inje University College of Medicine, Busan, *Ulsan Hospital, Ulsan, Korea
A duodenal diverticulum is common in the second portion of the duodenum and can occur at any age. An obstruction, bleeding, perforation, diverticulitis are not an uncommon complicationa of duodenal diverticulum. As a rare complication, bleeding in the duodenal diverticulum may be massive, and duodenal diverticulum is resected primarily as a result of the difficulty in determining the site of bleeding. However, there has been a recent increase in endoscopic diagnosis and the treatment of diverticular bleeding. Band ligation increases the risk of duodenal diverticular perforation because of the thin diverticular wall. An endoscopic hemoclip is a preferable method for endoscopic sclerotherapy. We report a 48- year-old man with a giant duodenal diverticulum that was treated with a hemoclip. The duodenal diverticular perforation was treated effectively with supportive care. (Korean J Gastrointest Endosc 2007;35:441-444)
Key Words: Duodenal diverticulum, Dieulafoy's lesion, Hemoclip
주요어: 십이지장 게실, Dieulafoy 병변, 지혈클립
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