title: Superselective embolization for bleeding from duodenal diverticulum: a case report.
abstract: Duodenal diverticulum is a well-known pathological entity. The majority of patients with this condition are asymptomatic. Although hemorrhage has been described, it is an infrequent complication. We report a patient who presented with massive upper gastrointestinal bleeding with hypovolemic shock, originating from a duodenal diverticulum. The diagnosis was made by emergency angiography. Superselective arterial embolization was performed with a successful outcome. To the best of our knowledge, superselective embolization for hemorrhage originating from a duodenal diverticulum has not previously been described in the literature.
authors.affiliation: Department of Diagnostic Radiology, Kawasaki Medical School, Kurashiki, Okayama, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Imai
authors.forename: Y
authors.initials: Y
authors.lastname: Kajihara
authors.forename: H
authors.initials: H
authors.lastname: Shirai
authors.forename: T
authors.initials: T
authors.lastname: Tamada
authors.forename: M
authors.initials: M
authors.lastname: Gyoten
authors.forename: A
authors.initials: A
authors.lastname: Fukuda
authors.forename: C
authors.initials: C
authors.lastname: Fujii
mesh_terms: D000792:Angiography; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000628:therapy*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy*; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged