Duodenal diverticular haemorrhage in a patient taking NSAID.
We present a 55 years old male with severe anemia with history of pain abdomen for 2 weeks and malena of 10 days duration. He was taking NSAID (Diclofenac sodium). Upper GI endoscopy done twice did not reveal any abnormality. Upper gastrointestinal (UGI) barium series with small bowel follow through revealed a diverticulum on medial wall of second part of duodenum and there was evidence of ulcer in diverticulum. He underwent diverticulectomy. On follow up after 6 months patient was asymptomatic.
Department of Medicine, Indira Gandhi Medical College, Shimla, HP, India-171 001.
S K
SK
Mahajan
P
P
Vaidya
B R
BR
Sood
D
D
Gupta
A
A
Sharma
D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D004008:Diclofenac / Q000009:adverse effects*; D004240:Diverticulum / Q000139:chemically induced*; D004378:Duodenal Diseases / Q000139:chemically induced*; D005471:Fluoroscopy; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced*; D006801:Humans; D017116:Low Back Pain / Q000188:drug therapy; D008297:Male; D008875:Middle Aged
D000894:Anti-Inflammatory Agents, Non-Steroidal; D004008:Diclofenac