Duodenal diverticular hemostasis with hemoclip placement on the bleeding and feeder vessels: A case report Gottumukkala S. Raju, MD, DM, Samir Nath,

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Presentation transcript:

Duodenal diverticular hemostasis with hemoclip placement on the bleeding and feeder vessels: A case report Gottumukkala S. Raju, MD, DM, Samir Nath, MD, PhD, Xiaotuan Zhao, MD, PhD, Syed Jafri, MD, Guillermo Gomez, MD, Gurinder Luthra, DO Gastrointestinal Endoscopy Volume 57, Issue 1, Pages 116-117 (January 2003) DOI: 10.1067/mge.2003.12 Copyright © 2003 Terms and Conditions

Fig. 1 A, Endoscopic view of active arterial bleeding from a Dieulafoy lesion in the duodenal diverticulum. B, Endoscopic view after application of 2 hemoclips to the Dieulafoy lesion. Filling the diverticulum with water to check for further bleeding has resulted in a reflection and mirror image of the clips. C, The endoscopic view of recurrent bleeding from the site of hemoclip deployment. D, Endoscopic view of hemoclip deployment on feeding vessel (small arrows); bleeding site indicated by large arrow. Gastrointestinal Endoscopy 2003 57, 116-117DOI: (10.1067/mge.2003.12) Copyright © 2003 Terms and Conditions

Fig. 2 CT image showing diverticulum and hemoclips (arrows). Gastrointestinal Endoscopy 2003 57, 116-117DOI: (10.1067/mge.2003.12) Copyright © 2003 Terms and Conditions