Successful treatment of active haemorrhage from a duodenal diverticulum using surgicel (absorbable haemostat): a case report.
Haemorrhage is one of the rare but serious complications of duodenal diverticula. Current methods of treatment include: endoscopy with injection therapy or hemoclip application and diverticulectomy. In this paper we present the case of a 61 year old man with life threatening haemorrhage who was managed successfully with gentle packing of a bleeding duodenal diverticulum using SURGICEL (Absorbable Haemostat). This appears to be a simple and effective way of dealing with the problem especially in situations where other methods are ineffective or inapplicable. Early surgical intervention before the development of any coagulopathy increases the chances of a successful outcome. It has not been possible to find a similar report from a thorough literature search.
Muguti
Gi
G
Northern Lincolinshire & Goole Hospitals, NHS Trust, Department of General Surgery, Scunthorpe General Hospital, United Kingdom.
Gandhi
H
H
Ridgeway
D
D
D004240:Diverticulum / Q000150:complications* / Q000601:surgery; D004378:Duodenal Diseases / Q000150:complications* / Q000601:surgery; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome