Posters
Presenting Author Academic/Professional Position
Kashif Ali
Academic Level (Author 1)
Resident
Discipline/Specialty (Author 1)
Internal Medicine
Academic Level (Author 2)
Faculty
Discipline/Specialty (Author 2)
Internal Medicine
Discipline Track
Patient Care
Abstract Type
Case Report
Abstract
Duodenal diverticular bleeding (DDB) is a rare cause of acute hematochezia, particularly in patients with liver cirrhosis, accounting for less than 0.14% of cases. We report an 80-year-old female with non-alcoholic liver cirrhosis and recent esophageal variceal ligation who presented with bright red rectal bleeding and hemodynamic instability. Initial suspicion was rectal variceal bleeding; however, endoscopic evaluation revealed a bleeding diverticulum in the second part of the duodenum. Hemostasis was successfully achieved with endoscopic clipping. DDB, especially in the juxta-papillary region, poses diagnostic challenges due to its rarity and nonspecific presentation. Early identification is critical, as more than half of cases present with shock. This case highlights the importance of considering DDB in cirrhotic patients with acute lower GI bleeding.
Presentation Type
Poster
Recommended Citation
Ali, Kashif and Balderas, Valeska, "Misleading Hematochezia in Cirrhosis: Avoiding the Rectal Varices Trap. A Case report" (2025). Research Colloquium. 55.
https://scholarworks.utrgv.edu/colloquium/2025/posters/55
Included in
Misleading Hematochezia in Cirrhosis: Avoiding the Rectal Varices Trap. A Case report
Duodenal diverticular bleeding (DDB) is a rare cause of acute hematochezia, particularly in patients with liver cirrhosis, accounting for less than 0.14% of cases. We report an 80-year-old female with non-alcoholic liver cirrhosis and recent esophageal variceal ligation who presented with bright red rectal bleeding and hemodynamic instability. Initial suspicion was rectal variceal bleeding; however, endoscopic evaluation revealed a bleeding diverticulum in the second part of the duodenum. Hemostasis was successfully achieved with endoscopic clipping. DDB, especially in the juxta-papillary region, poses diagnostic challenges due to its rarity and nonspecific presentation. Early identification is critical, as more than half of cases present with shock. This case highlights the importance of considering DDB in cirrhotic patients with acute lower GI bleeding.
