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World J Gastrointest Endosc. Jul 16, 2011; 3(7): 154-156
Published online Jul 16, 2011. doi: 10.4253/wjge.v3.i7.154
Published online Jul 16, 2011. doi: 10.4253/wjge.v3.i7.154
Endoscopic hemostasis for hemorrhage from an ileal diverticulum
Masaya Iwamuro, Department of Internal Medicine, Hiroshima City Hospital, Hiroshima 730-8518, Japan
Mariko Hanada, Yoko Kominami, Reiji Higashi, Motowo Mizuno, Department of Internal Medicine, Hiroshima City Hospital, Hiroshima 730-8518, Japan
Masaya Iwamuro, Kazuhide Yamamoto, Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama 700-8558, Japan
Author contributions: Iwamuro M drafted the manuscript, Hanada M and Kominami Y performed endoscopy and were responsible for conception and design, Higashi R and Mizuno M critically revised the manuscript for important intellectual content, and Yamamoto K approved the final version of the manuscript.
Correspondence to: Masaya Iwamuro, MD, Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-Ku, Okayama 700-8558, Japan. iwamuromasaya@yahoo.co.jp
Telephone: +81-86-235-7219 Fax: +81-86-225-5991
Received: February 2, 2011
Revised: April 26, 2011
Accepted: May 15, 2011
Published online: July 16, 2011
Revised: April 26, 2011
Accepted: May 15, 2011
Published online: July 16, 2011
Abstract
Hemorrhage from a non-Meckelian jejunoileal diverticulum is rare, and it is generally difficult to diagnose the source of the bleeding. Here, we report the case of a 59-year-old male with hemorrhage from an ileal diverticulum. Contrast computed tomography scans demonstrated the ileal diverticulum and extravasation of the contrast medium around it. The diagnosis was then made by computed tomography scans, and endoscopic mechanical hemostasis was performed under colonoscopy with three metal clips. The management of hemorrhage from jejunoileal diverticula is discussed.