Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 6, Number 10, October 2015, pages 444-446

Multiple Duodenal Diverticula: A Rare Cause of Massive Upper Gastrointestinal Bleeding and Hemodynamic Instability


Figure 1.
Figure 1. Upper endoscopy showing multiple duodenal diverticula at the duodenal bulb.
Figure 2.
Figure 2. Upper endoscopy showing active hemorrhage and clot formation from a duodenal diverticulum.
Figure 3.
Figure 3. Repeat upper endoscopy showing continued active bleeding from another duodenal diverticulum with six endoclips applied to achieve hemostasis.
Figure 4.
Figure 4. Angiogram showing a 3 French microcatheter used to selectively cannulate the gastroduodenal artery from the celiac axis with retrograde flow noted within the gastroduodenal artery from the superior mesenteric artery.