内視鏡的クリッピング法が有効だった十二指腸憩室出血の1例

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  • A case of duodenal diverticular hemorrhage successfully managed by endoscopic clipping

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An 85-year-old woman with a history of coronary stent placement for angina pectoris who was regularly taking aspirin and clopidogrel sulfate presented to our emergency department after noticing tarry stools in the morning. Pale bulbar conjunctiva and epigastric tenderness were suggestive of upper gastrointestinal hemorrhage and endoscopy was performed, revealing fresh bleeding from a diverticulum near the Vater papilla, in which an active bleeding point was identified. Hemostasis was achieved by clipping the bleeding point. After the procedure, she resumed eating and was discharged home with no signs of hemorrhage. This report describes a case of gastrointestinal hemorrhage from a duodenal diverticulum that was safely managed by endoscopic hemostatic clipping without postoperative complications such as perforation.

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