TWO CASES WHICH HAD CAUSED PERFORATION AFTER THE ENDOSCOPIC CLIPPING FOR BLEEDING FROM DUODENAL DIVERTICULUM

  • HAYASHI Kazuki
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • OKAYAMA Yasutaka
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • MIYABE Katsuyuki
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • UENO Kouichiro
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • NAITOH Itaru
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • HIRAI Masaaki
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • KITAJIMA Yasuhiro
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • BAN Tessin
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • AKITA Shinji
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital
  • GOTOH Kazuo
    Department of Gastrocnterolo V, Gift Pretectaral Tajimi Hospital

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Other Title
  • 十二指腸憩室出血に対する内視鏡的クリップ止血術後にて穿孔をきたした2例

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Abstract

Case 1 : A 58-year-old woman was hospitalized for blood in the stool with an unknown bleeding part. Bleeding scintigraphy suggested bleeding from duodenal second portion. Side view endoscopy examination revealed an exposed vessel in the duodenal diverticulm. Endoscopic treatment with clip was performed. When CT was performed after the treatment, free air existed in coeliac and retroperitoneal areas. Case 2 : A 69-year-old woman was hospitalized for hemorrhage from erosion in the duodenal diverticulm. Therefore, endoscopic clipping was performed. She had stomachache after the operation. When CT was inspected, free air was admitted in the retroperitoneal area.

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