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Bleeding duodenal diverticulum

Report of a case

  • Case Reports
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The American Journal of Digestive Diseases Aims and scope Submit manuscript

Summary

1. Major gastrointestinal bleeding is a serious but infrequent complication of duodenal diverticula.

2. Diverticula of the third (horizontal) and fourth (ascending) portions of the duodenum at Treitz's angle figure conspicuously in the collected case histories of bleeding. This predilection is explained by the great vascularity of the diverticular bed near Treitz's angle.

3. Diverticula of the third and fourth portions of the duodenum should, if symptomatic, be operated upon. They can be excised with safety. The surgical approach to the diverticula of the third and fourth portions is outlined briefly.

4. The case history of a large bilobed diverticulum of the ascending portion of the duodenum near Treitz's angle is reported. The diverticulum was associated with recurring melena, which required in the course of 15 months 21 blood transfusions. The bleeding did not recur after resection of the diverticulum.

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Author information

Authors and Affiliations

  1. From the Department of Surgery, New York Medical College, Flower Fifth Avenue Hospitals, New York, N. Y.

    Ernest Gold M.D.

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  1. Ernest Gold M.D.
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Additional information

The author wishes to thank Dr. George B. Jerzy Glass for his help in the pre-operative evaluation and in the postoperative treatment of the reported case. The author also thanks Dr. Charles Karpas for his report on the microscopic findings in the operative specimen.

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Gold, E. Bleeding duodenal diverticulum. Digest Dis Sci 8, 944–952 (1963). https://doi.org/10.1007/BF02232092

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