alexa An uncommon source of upper gastrointestinal bleeding: epiphrenic esophageal diverticulum.


Journal of Medical Diagnostic Methods

Author(s): Tse CS, Parikh ND

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Abstract Esophageal diverticula are rare findings that have an estimated incidence of 1 per 500 000 people per year, even though acute upper gastrointestinal bleeding is a relatively common medical emergency with an incidence of up to 150 per 100 000 people per year and a mortality rate of 7-14\%. An 83-year-old man presented with hematemesis and melena. Urgent upper endoscopy revealed an esophageal diverticulum, within which was an adherent clot. Removal of the clot identified a bleeding vessel within the diverticulum; this was successfully clipped and hemostasis was achieved. To the best of our knowledge, this is the first case report of a bleeding epiphrenic esophageal diverticulum that was successfully managed endoscopically with hemostatic clips alone. While rare, our case serves as a reminder that bleeding epiphrenic esophageal diverticula can present as massive upper gastrointestinal bleeding and urgent endoscopic therapy can be life-saving. © The Author(s) 2015. Published by Oxford University Press and the Digestive Science Publishing Co. Limited. This article was published in Gastroenterol Rep (Oxf) and referenced in Journal of Medical Diagnostic Methods

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