Limits...
Colonic Diverticulitis After Endoscopic Band Ligation Performed for Colonic Diverticular Hemorrhage.

Ishii N, Fujita Y - ACG Case Rep J (2015)

Bottom Line: Computed tomography (CT) demonstrated dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation, consistent with uncomplicated diverticulitis.The patient was discharged with intravenous antibiotic therapy 5 days after EBL.Attention should be given to the occurrence of colonic diverticulitis after EBL for colonic diverticular hemorrhage.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan.

ABSTRACT
A 72-year-old woman presented with massive hematochezia. Colonoscopy revealed active bleeding from a diverticulum in the ascending colon, diagnosed as colonic diverticular hemorrhage. Endoscopic band ligation (EBL) was performed for the hemostasis. The patient developed abdominal pain in the right lower quadrant 1 day after EBL. Computed tomography (CT) demonstrated dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation, consistent with uncomplicated diverticulitis. The patient was discharged with intravenous antibiotic therapy 5 days after EBL. Attention should be given to the occurrence of colonic diverticulitis after EBL for colonic diverticular hemorrhage.

No MeSH data available.


Related in: MedlinePlus

Enhanced CT demonstrated extravasation in the ascending colon.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4508946&req=5

Figure 1: Enhanced CT demonstrated extravasation in the ascending colon.

Mentions: A 72-year-old woman with a history of ischemic heart disease and regular aspirin consumption presented with massive hematochezia. She was febrile with a white blood cell count on admission of 4,100/μL. Enhanced computed tomography (CT) demonstrated extravasation in the ascending colon (Figure 1). Colonoscopy after bowel purge revealed active bleeding from a diverticulum located in the ascending colon (Figure 2). The bleeding diverticulum was marked with a hemoclip, and the colonoscope was removed then reinserted with a band-ligator device (MD-48710 EVL Device, Sumitomo Bakelite Co. Ltd., Tokyo, Japan; Figure 2). The colonic diverticulum was suctioned into a cup, and the elastic O-band was released. The diverticulum was everted and banded after EBL (Figure 2), allowing successful hemostasis.


Colonic Diverticulitis After Endoscopic Band Ligation Performed for Colonic Diverticular Hemorrhage.

Ishii N, Fujita Y - ACG Case Rep J (2015)

Enhanced CT demonstrated extravasation in the ascending colon.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508946&req=5

Figure 1: Enhanced CT demonstrated extravasation in the ascending colon.
Mentions: A 72-year-old woman with a history of ischemic heart disease and regular aspirin consumption presented with massive hematochezia. She was febrile with a white blood cell count on admission of 4,100/μL. Enhanced computed tomography (CT) demonstrated extravasation in the ascending colon (Figure 1). Colonoscopy after bowel purge revealed active bleeding from a diverticulum located in the ascending colon (Figure 2). The bleeding diverticulum was marked with a hemoclip, and the colonoscope was removed then reinserted with a band-ligator device (MD-48710 EVL Device, Sumitomo Bakelite Co. Ltd., Tokyo, Japan; Figure 2). The colonic diverticulum was suctioned into a cup, and the elastic O-band was released. The diverticulum was everted and banded after EBL (Figure 2), allowing successful hemostasis.

Bottom Line: Computed tomography (CT) demonstrated dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation, consistent with uncomplicated diverticulitis.The patient was discharged with intravenous antibiotic therapy 5 days after EBL.Attention should be given to the occurrence of colonic diverticulitis after EBL for colonic diverticular hemorrhage.

View Article: PubMed Central - PubMed

Affiliation: Department of Gastroenterology, St. Luke's International Hospital, Tokyo, Japan.

ABSTRACT
A 72-year-old woman presented with massive hematochezia. Colonoscopy revealed active bleeding from a diverticulum in the ascending colon, diagnosed as colonic diverticular hemorrhage. Endoscopic band ligation (EBL) was performed for the hemostasis. The patient developed abdominal pain in the right lower quadrant 1 day after EBL. Computed tomography (CT) demonstrated dirty fat around the ascending colon and thickened peritoneum without perforation or abscess formation, consistent with uncomplicated diverticulitis. The patient was discharged with intravenous antibiotic therapy 5 days after EBL. Attention should be given to the occurrence of colonic diverticulitis after EBL for colonic diverticular hemorrhage.

No MeSH data available.


Related in: MedlinePlus