Abstract
Background Duodenal diverticula are a rare cause of gastrointestinal (GI) bleeding despite being a common finding in the GI tract. We present a case of a patient who had massive hematochezia due to a complex duodenal diverticulum. Case Presentation. A 74-year-old Hispanic female presented initially with generalized weakness. During admission, the patient had an episode of a large amount of hematochezia and had to be transferred to the intensive care unit (ICU). Upper endoscopy was done using a forward-viewing endoscope which revealed a bleeding complex duodenal diverticulum. Successful hemostasis was achieved through epinephrine injection followed by placement of hemostatic clips. Conclusion Although rare, gastroenterologists need to be aware of duodenal diverticulum as a possible cause of gastrointestinal bleed. It could be life-threatening, and thus, prompt diagnosis and management is necessary.
Highlights
Diverticula are common findings in the adult GI tract and are mostly found in the colon [1]. e duodenum is the second most common location for GI tract diverticula [2]
We present a rare case of a patient who had massive hematochezia due to a complex duodenal diverticulum
E precise incidence of duodenal diverticula is unknown, but based on autopsy data, it ranges from 3% to 22%
Summary
Duodenal diverticula are a rare cause of gastrointestinal (GI) bleeding despite being a common finding in the GI tract. We present a case of a patient who had massive hematochezia due to a complex duodenal diverticulum. A 74year-old Hispanic female presented initially with generalized weakness. The patient had an episode of a large amount of hematochezia and had to be transferred to the intensive care unit (ICU). Upper endoscopy was done using a forwardviewing endoscope which revealed a bleeding complex duodenal diverticulum. Gastroenterologists need to be aware of duodenal diverticulum as a possible cause of gastrointestinal bleed. It could be life-threatening, and prompt diagnosis and management is necessary
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