Duodenal Diverticulum With Massive Bleeding-a Case Report With Surgical Treatment-

We present the case of a 66-year-old female with massive bleeding from a duodenal diverticulum. She had been admitted to our hospital twice because of tarry stool. The bleeding source had not been detected at the initial admission or two years later. She was readmitted because of marked tarry stool. Gastroduodenal fiberscopy showed blood coagula in a duodenal diverticulum but no bleeding from the stomach or bulbus. Upper gastrointestinal series showed two large duodenal diverticula in the duodenal second portion. No other examinations showed lesions that could be considered bleeding sources. Duodenal diverticulum was diagnosed as the bleeding source. Diverticulectomy with a Roux-en-Y duodenojejunostomy was performed. We report our patient and a review of the japanese literature.