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- W2963227827 abstract "A 57-year-old woman with autosomal dominant polycystic kidney disease status post–renal transplant presented to the emergency department with melena and hemodynamic instability. Black stool was found on rectal exam and laboratory studies showed acute normocytic anemia. The patient was resuscitated with fluids and admitted to the step-down unit. Esophagogastroduodenoscopy did not reveal a source of bleeding, but a large diverticulum was found in the duodenum (Figure A). Colonoscopy the following day did not identify a bleeding source. Endoscopic video capsule was placed distal to the duodenal diverticulum by esophagogastroduodenoscopy with no identifiable bleeding source. The patient continued to have melena. Abdominal computed tomography with angiography showed bleeding in the mid-jejunum. Single-balloon enteroscopy revealed a mid-jejunal diverticulum with an exposed blood vessel and ulcer (Figure B) that was treated with clips (Figure C). The melena resolved and the patient was discharged home." @default.
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- W2963227827 date "2020-10-01" @default.
- W2963227827 modified "2023-10-16" @default.
- W2963227827 title "Small Intestine Diverticula in Polycystic Kidney Disease" @default.
- W2963227827 doi "https://doi.org/10.1016/j.cgh.2019.07.027" @default.
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