Case Report
Copyright ©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Aug 14, 2009; 15(30): 3817-3818
Published online Aug 14, 2009. doi: 10.3748/wjg.15.3817
Sepsis caused by endoscopic clipping for colonic diverticular bleeding: A rare complication
Keiichiro Kume, Masahiro Yamasaki, Ichiro Yoshikawa
Keiichiro Kume, Masahiro Yamasaki, Ichiro Yoshikawa, Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, Kitakyusyu 807-8555, Japan
Author contributions: Kume K and Yamasaki M contributed equally to this work; Kume K, Yamasaki M and Yoshikawa I designed the research and analyzed the data; Kume K wrote the paper.
Correspondence to: Keiichiro Kume, MD, PhD, Third Department of Internal Medicine, University of Occupational and Environmental Health, Japan, School of Medicine, 1-1, Iseigaoka, Yahatanishi-ku, Kitakyusyu 807-8555, Japan. k-kume@med.uoeh-u.ac.jp
Telephone: +81-93-6031611-2434
Fax: +81-93-6920107
Received: April 14, 2009
Revised: July 15, 2009
Accepted: July 22, 2009
Published online: August 14, 2009
Abstract

We herein report the rare complication of sepsis caused by endoscopic clipping for colonic diverticular bleeding. A 78-year-old man with a 12-h history of near syncope and painless hematochezia was admitted to our hospital. Following the transfusion of 4 U of blood and continued hematochezia, a colonoscopy was performed. Active bleeding was seen as continuous arterial spurting from a single diverticulum located in the middle ascending colon. This diverticulum was seamed by four endoclips. The next day, the patient became febrile with a temperature of 39.2°C. Laboratory data included a white blood cell count of 18 100/mm3 and a C-reactive protein level of 3.4 mg/dL. He was diagnosed with sepsis since Escherichia coli was detected in the blood culture. Antibiotics were started. Four days later his fever had improved and laboratory data improved 9 d later.

Keywords: Colonic diverticular bleeding, Endoscopic clipping, Rare complication, Endoscopic hemostasis, Sepsis