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Updated: Nov 25, 2025

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

468

Rare complication of endoscopic band ligation for colonic diverticular bleeding

Naoyuki Tominaga1, Shinichi Ogata1, Motohiro Esaki2

  • 1Department of Gastroenterology Saga-Ken Medical Centre Koseikan, Japan Saga Japan.

JGH Open : an Open Access Journal of Gastroenterology and Hepatology
|December 15, 2020
PubMed

A 79-year-old female patient receiving maintenance hemodialysis was referred to our hospital because of massive hematochezia. Abdominal enhanced computed tomography (CT) demonstrated extravasation of contrast medium in the descending colon. We then performed urgent colonoscopy, and successful endoscopic hemostasis was achieved using endoscopic band ligation (EBL) for a bleeding colonic diverticulum. However, the patient unexpectedly complained of severe abdominal pain and fever 5 days after EBL, and abdominal CT revealed free air and mesenteric panniculitis. Emergency surgery was performed, and delayed colonic perforation at the EBL site was confirmed. Although rare, delayed perforation after EBL for colonic diverticular bleeding should be considered.

Keywords:
computed X‐ray tomographydiverticular diseasesendoscopic hemostasisendoscopyintestinal perforation

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