Wilhelmsen Michael, Andersen Johnny Fredsbo, Lauritsen Morten Laksafoss
Department of Surgical Gastroenterology, Hvidovre Hospital, Hvidovre, Denmark.
Department of Radiology, Glostrup Hospital, Glostrup, Denmark.
BMJ Case Rep. 2014 May 13;2014:bcr2013202516. doi: 10.1136/bcr-2013-202516.
The successful management of upper gastrointestinal (GI) bleeding requires identification of the source of bleeding and when this is achieved the bleeding can often be treated endoscopically. However, the identification of the bleeding can be challenging due to the location of the bleeding or technical aspects. Therefore it might be necessary to use other measures than endoscopy such as CT angiography. Duodenal diverticula is a rare cause of upper GI bleeding and can be challenging to diagnose as they often require specialised endoscopy procedures such as endoscopy with a side-viewing scope. This case describes the first successful management of this rare condition with an upper GI endoscopy with a colonoscope and afterwards intravascular coiling.
上消化道（GI）出血的成功管理需要确定出血源，一旦确定出血源，通常可通过内镜治疗出血。然而，由于出血部位或技术方面的原因，确定出血源可能具有挑战性。因此，可能有必要使用内镜检查以外的其他措施，如CT血管造影。十二指肠憩室是上消化道出血的罕见原因，诊断可能具有挑战性，因为它们通常需要专门的内镜检查程序，如使用侧视镜的内镜检查。本病例描述了首例使用结肠镜进行上消化道内镜检查并随后进行血管内栓塞成功治疗这种罕见病症的情况。
