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Dieulafoy's Ulcer of the Duodenum, Report of a Case Masayuki Tsujimoto 1 , Yasuhiro Nakatani 1 , Yasuhiro Yamamoto 1 , Shinji Tamaki 1 , Kaoru Hamada 2 1Department of Internal Medicine, Heisei Memorial Hospital 2The Second Department of Internal Medicine, Nara Medical University Keyword: 十二指腸 , Dieulafoy様潰瘍 , 側視型内視鏡 pp.1043-1046
Published Date 1996/7/25
DOI https://doi.org/10.11477/mf.1403104203
  • Abstract
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 We encountered a case of Dieulafoy's ulcer (exulceratio simplex) of the duodenum. Endoscopic local injection of HSE (hypertonic angle saline epinephrin) solution and ETH (ethanol) was performed.

 A 37-year-old man was admitted to our hospital with hematemesis. Emergency endoscopy perfomed by sideview endscopy revealed arterial bleeding from an exposed vessel (about 1 mm) on the mucosa of the superior duodenal angle without any definite ulcer. Local injection of HSE solution and ETH was performed and satisfactory hemostasis was achieved.

 To our knowledge, 14 cases with Dieulafoy's ulcer (exulceratio simplex) of the duodenum have been reported in Japan. Furthermore, cases in which Dieulafoy's ulcer exists on the anal side of the bulbus numbered only eight (including our case), and in four patients (including our case) hemostasis was achieved by endoscopic local injection of HSE solution and ETH. Out of seven cases in the bulbus, ulcer was found by endoscopy eight patients, and hemostasis was achieved by local injection in six of them.


Copyright © 1996, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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