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Periampullary diverticulum: a case of bleeding from a periampullary diverticulum
Introduction:
Duodenal diverticula are uncommon and usually asymptomatic. Complications like bleeding, perforation and biliary fistulae are rare. The management of a bleeding duodenal diverticulum can be challenging. With the improvement of endoscopic techniques, many of the cases reported in the literature were managed with endoscopic methods. We present a case report of bleeding duodenal diverticulum.
Clinical Features:
The patient was treated successfully with endoscopic haemostasis during her first epidsode when she initially presented with bleeding duodenal diverticulum, but recurred after 2 months.
Treatment:
Despite initial endoscopic haemostasis during her second episode, she rebled after 2 days, necessitating surgical management.
Outcome:
After suture ligation of the ulcer, the patient recovered and there was no more recurrence.
Conclusion:
Periampullary diverticulum is a rare source of gastrointestinal bleeding, which can be challenging to diagnose and treat. A multidisciplinary approach encompassing radiology, endoscopy and surgery is most effective.
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