  |
|
 |
|
Case Report
| ||||||
| Therapeutic water soluble contrast-thrombin enema use in bleeding colonic diverticula: A case report | ||||||
| Edward Fogarty1, Justin Mauch2, Dakota Orvedal1 | ||||||
|
1University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.
2Mayo Clinic, Rochester, MN, USA. | ||||||
| ||||||
|
[HTML Full Text]
[PDF Full Text]
[Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar] 
|
| How to cite this article |
| Fogarty E, Mauch J, Orvedal D. Therapeutic water soluble contrast-thrombin enema use in bleeding colonic diverticula: A case report. Int J Case Rep Images 2016;7(10):640–643. |
|
Abstract
|
|
Introduction:
Diverticular hemorrhage is a typical manifestation of diverticular disease with recurrent diverticular hemorrhage taking place in 20–30% of those with a single episode of bleeding. Patients with multiple bleeding diverticula or unclear diverticular bleeding sources are difficult to treat with the standard mesenteric embolization or endoscopic vessel clipping or cauterization. In case reports, therapeutic thrombin-barium enema has been successfully utilized in these types of patients after standard treatments had failed.
Case Report: We present a case in which a soluble water contrast thrombin enema was used for treatment of likely recurrent diverticular bleeding prior to attempting standard treatment modalities. Conclusion: This case may represent a useful management strategy for reducing hospital costs, avoiding risks of standard treatments, and effectively treating those with diverticular hemorrhage and multiple or unclear bleeding diverticula. | |
|
Keywords:
Bleeding colonic diverticula, Diverticular hemorrhage, Thrombin enema
| |
|
[HTML Full Text]
[PDF Full Text]
|
|
Author Contributions
Edward Fogarty – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Justin Mauch – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Dakota Orvedal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
|
Guarantor of submission
The corresponding author is the guarantor of submission. |
|
Source of support
None |
|
Conflict of interest
Authors declare no conflict of interest. |
|
Copyright
© 2016 Edward Fogarty et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
|
|