Duodenal divertikül içindeki anjiodisplaziye bağlı varis dışı üst gastrointestinal sistem kanaması: olgu sunumu

Duodenal divertikül rutin endoskopide çoğunlukla gözden kaçmaktadır. Ancak nadiren varis dışı üst gastrointestinal sistem kanamasının nedeni olarak karşımıza çıkabilir. Burada, duodenal divertikül içindeki anjiodisplaziye bağlı varis dışı üst gastrointestinal sistem kanaması izlenen bir olguyu bildirdik. Odak bulunamayan varis dışı üst gastrointestinal sistem kanamasında duodenal divertikülün odak olabileceği mutlaka akılda tutulmalıdır.

Nonvariceal upper gastrointestinal bleeding secondary to angiodysplasia within duodenal diverticulum: case report

Duodenal diverticulum is mostly overlooked in routine endoscopy. But it can rarely occur as a cause of nonvariceal upper gastrointestinal bleeding. Here, we present a case who developed nonvariceal upper gastrointestinal bleeding due to angiodysplasia located in the duodenal diverticulum. It should be kept in mind that duodenal diverticulum may be as a cause of nonvariceal upper gastrointestinal bleeding of unknown origin.

___

  • 1. Sakthivel S, Kannaiyan K, Thiagarajan S. Prevalence of duodenal diverticulum in South indians: a cadaveric study. ISRN Anat. 2013 Nov 7; 2013: 767403. doi: 10.5402/2013/767403.
  • 2. Chen YY, Yen HH, Soon MS. Impact of endoscopy in the management of duodenal diverticular bleeding: experience of a single medical center and a review of recent literature. Gastrointest Endosc. 2007 Oct; 66 (4): 831-5. doi: 10.1016/j.gie.2007.06.001.
  • 3. Onozato Y, Kakizaki S, Ishihara H, Iizuka H, Sohara N, Okamura S, et al. Endoscopic management of duodenal diverticular bleeding. Gastrointest Endosc. 2007 Nov; 66 (5): 1042-9. doi: 10.1016/j.gie.2007.07.014. 4. Dalal AA, Rogers SJ, Cello JP. Endoscopic management of hemorrhage from a duodenal diverticulum. Gastrointest Endosc. 1998 Oct; 48 (4): 418-20. doi: 10.1016/s0016-5107 (98) 70015-x.
  • 5. Chatila AT, Gou E, Abdulla H, Merwat S. Two Cases of Bleeding Angiodysplasias Within Duodenal Diverticulum. ACG Case Rep J. 2019; 6 (3): e 00027. Published 2019 Mar 6. doi:10.14309/crj.0000000000000027
  • 6. Groff A, Walsh L, Singh M, Jain R. Juxtapapillary duodenal diverticulitis in an elderly female. BMJ Case Rep. 2019 Apr 12; 12 (4): e229259. doi: 10.1136/bcr-2019-229259.
  • 7. Soudagar AS, Abdinoor A, Khan O, Gupta N. Use of side-viewing endoscope to treat a bleeding duodenal diverticulum. Gastrointest Endosc. 2015 Jan; 81 (1): 232-3. doi: 10.1016/j.gie.2014.04.008.
  • 8. Sami SS, Al-Araji SA, Ragunath K. Review article: gastrointestinal angiodysplasia- pathogenesis, diagnosis and management. Aliment Pharmacol Ther. 2014 Jan; 39 (1):1 5-34. doi: 10.1111/apt.12527.
  • 9. Inoue, T., Nakazawa, S., Hattori, T., Katayama M., Taki T., Takashima T, et al. Massive bleeding from a duodenal diverticulum successfully treated with transarterial embolization and endoscopic coagulation. Digestive Endoscopy 2004; 16: 58-60. https://doi.org/10.1111/j.1443-1661.2004.00300.x
  • 10. Suzuki N, Arebi N, Saunders BP. A novel method of treating colonic angiodysplasia. Gastrointest Endosc. 2006 Sep; 64 (3): 424-7. doi: 10.1016/j.gie.2006.04.032.
Ege Tıp Dergisi-Cover
  • ISSN: 1016-9113
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1962
  • Yayıncı: Ersin HACIOĞLU