Endoscopic Hemoclipping for Bleeding Duodenal Ulcer in a Patient with Dengue Hemorrhagic Fever: Report of a Case

Abstract

Dengue fever and dengue hemorrhagic fever are the most important re-emergent arbovirus diseases of human, transmitted with four viral serotypes, dengue virus 1, 2, 3 and 4. Gastrointestinal bleeding is the most common complication of severe dengue hemorrhagic fever. The incidence of upper gastrointestinal (UGI) bleeding in patients with dengue fever varied from 8.4% to 58.5% in Taiwan. Adequate blood transfusion to correct the bleeding tendency, coagulation disorder and hypovolemia is the mainstay of medical treatment of UGI bleeding in dengue patients. However, the role of endoscopic treatment in UGI bleeding of dengue patients is still unknown. We report a serologically confirmed dengue patient with UGI bleeding. Successful hemostasis was achieved after application of endoscopic hemoclip. Our experience on this dengue-related UGI bleeding patient may suggest that endoscopic hemoclipping is helpful for similar cases.