Phenylephrine-provoked endoscopy reveals an occult Dieulafoy’s lesion in a duodenal diverticulum: A case report and review of literature

Figure 2 Endoscopic identification and management of a Dieulafoy’s lesion in a duodenal diverticulum under phenylephrine provocation. A: Active bleeding from the lesion occurs after blood pressure provocation with phenylephrine; B: Colonoscopic view shows a 1-2 mm erythematous spot (white arrow) on the anterior wall of a duodenal diverticulum adjacent to the duodenal papilla; C: Complete haemostasis is achieved by submucosal epinephrine injection followed by placement of three haemostatic clips.