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ENDOSCOPIC MANAGEMENT OF A DIEULAFOY‐LIKE LESION IN A DUODENAL DIVERTICULUM
Authors:Shuro Yoshino  Takayuki Matsumoto  Koichi Kurahara  Hiroyuki Kobayashi  Mitsuo Iida  Tadahiko Fuchigami
Abstract:We present a 70‐year‐old man who had two episodes of melena during the preceding 8‐year period. He had a Dieulafoy‐like lesion in a diverticulum in the third portion of the duodenum. While emergency endoscopy revealed neither apparent blood nor clots around the diverticular orifice, there was a non‐bleeding vessel in the fundus of the diverticulum. The vessel ceased bleeding after argon plasma coagulation and, since then, the patient has not experienced bleeding. In cases of gastrointestinal bleeding of obscure origin, duodenal diverticulum should be considered as a possible source of bleeding, even when endoscopy discloses no apparent bleeding.
Keywords:argon plasma coagulation  Dieulafoy‐like lesion  diverticular bleeding  duodenal diverticulum  endoscopic management
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