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  • Title: Laparoscopic diverticulectomy for massive hemorrhage in a duodenal diverticulum.
    Author: Dan D, Bascombe N, Maharaj R, Hariharan S, Naraynsingh V.
    Journal: Surg Laparosc Endosc Percutan Tech; 2012 Feb; 22(1):e39-41. PubMed ID: 22318077.
    Abstract:
    Hemorrhagic duodenal diverticula are rare and are treated by endoscopy or open diverticulectomy, especially when there is a massive hemorrhage. We report what we believe to be the first instance of urgent laparoscopic diverticulectomy of a large, inflamed duodenal diverticulum with massive hemorrhage. An elderly patient had a screening colonoscopy and additional upper gastrointestinal endoscopy because of vague upper gastrointestinal symptoms; however, both were reported to be normal. She subsequently developed massive hematemesis. Clinical examination revealed a tender right upper quadrant mass and imaging confirmed a large duodenal diverticulum with surrounding inflammatory changes. Urgent laparoscopic diverticulectomy was performed with an uneventful recovery and follow-up. Laparoscopic diverticulectomy should be considered in managing hemorrhagic duodenal diverticula.
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