Mid-esophageal Diverticular Bleeding in a Patient with Kyphosis.

Autor: Kishi K; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Kusunoki R; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Fujishiro H; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Suemitsu S; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Kataoka M; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Fujiwara A; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Tsukano K; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Kotani S; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Yamanouchi S; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Aimi M; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Tanaka M; Department of Endoscopy, Shimane Prefectural Central Hospital, Japan., Miyaoka Y; Department of Endoscopy, Shimane Prefectural Central Hospital, Japan., Miyake T; Department of Hepatology, Shimane Prefectural Central Hospital, Japan., Kohge N; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Imaoka T; Department of Gastroenterology, Shimane Prefectural Central Hospital, Japan., Ishihara S; Department of Gastroenterology and Hepatology, Shimane University School of Medicine, Japan., Kinoshita Y; Department of Gastroenterology and Hepatology, Shimane University School of Medicine, Japan.
Jazyk: angličtina
Zdroj: Internal medicine (Tokyo, Japan) [Intern Med] 2019 Nov 15; Vol. 58 (22), pp. 3239-3242. Date of Electronic Publication: 2019 Jul 22.
DOI: 10.2169/internalmedicine.2951-19
Abstrakt: Mid-esophageal diverticulum is a rare disease, formed by the traction caused by inflamed bronchial lymph nodes or by pulsion induced by motility disorder. We herein report a case of mid-esophageal diverticular bleeding in a patient with kyphosis who was taking an anti-platelet drug. She was successfully treated with endoscopic hemostasis. An 80-year-old woman presented to our emergency department with hematemesis. She had kyphosis and was taking dipyridamole for her chest pain. Emergent upper endoscopy revealed bleeding from a mid-esophageal diverticulum; hemostasis was achieved via clipping. Mid-esophageal diverticula can cause upper gastrointestinal bleeding. An endoscopic examination and hemostasis are effective treatments.
Databáze: MEDLINE