| Diverticular hemorrhage with huge visible vessel |
 |
This huge
arterial vessel on the ground
of a diverticulum led to a massive gastrointestinal hemorrhage.
Injection of a fibrinous clot stopped
the bleeding. A bleeding diverticulum
is a common cause of lower gastrointestinal hemorrhage (20-50 %).
Incidence peaks between age 70
and 80. |
| Diverticular hemorrhage |
 |
 |
|
Small,
visible vessel at the floor of a diverticulum, which led
to a considerable
blood loss. Fibrin glue is injected directly next to the
vessel and additionally
into the diverticular neck. This intervention stopps the
hemorrhage.
The diverticular lumen is partially obstructed by the
submucous injection (right).
Since the localisation of lower gastrointestinal
hemorrhage in an emergency
setting very much depends on unobstructed vision, we use
an automated
rinsing device (endo washerŪ) fixed to the working
channel. Thus a volume
of 800-1000 ml/ min is available for rinsing.
|
