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|Title:||Periampullary diverticulum: A case of bleeding from a periampullary diverticula|
|Source:||Kua, J.E.H., Seah, A., So, J.B.Y. (2005-11). Periampullary diverticulum: A case of bleeding from a periampullary diverticula. Annals of the Academy of Medicine Singapore 34 (10) : 636-638. ScholarBank@NUS Repository.|
|Abstract:||Introduction: Duodenal diverticula are uncommon and usually asymptomatic. Complications like bleeding, perforation and biliary fistulae are rare. The management of a bleeding duodenal diverticulum can be challenging. With the improvement of endoscopic techniques, many of the cases reported in the literature were managed with endoscopic methods. We present a case report of bleeding duodenal diverticulum. Clinical Features: The patient was treated successfully with endoscopie haemostasis during her first episode when she initially presented with bleeding duodenal diverticulum, but recurred after 2 months. Treatment: Despite initial endoscopic haemostasis during her second episode, she rebled after 2 days, necessitating surgical management. Outcome: After suture ligation of the ulcer, the patient recovered and there was no more recurrence. Conclusion: Periampullary diverticulum is a rare source of gastrointestinal bleeding, which can be challenging to diagnose and treat. A multidisciplinary approach encompassing radiology, endoscopy and surgery is most effective.|
|Source Title:||Annals of the Academy of Medicine Singapore|
|Appears in Collections:||Staff Publications|
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