Maw-Soan Soon

Successful Double Balloon Enteroscopy Treatment for Bleeding Jejunal Diverticulum: A Case Report and Review of the Literature

In this article, we report a case study of a 54-year old man who presented with massive gastrointestinal bleeding. Esophagogastroduodenoscopy and colonoscopy had been performed in another hospital, but the location of the bleeding could not be identified, and the patient was transferred to our hospital. An initial abdominal computed tomography scan showed only a large blood clot in the small bowel and colon, with duodenojejunal diverticulosis. Emergent angiography was performed due to persistent active bleeding. Active bleeding from the jejunum was found, and the patient received a double balloon enteroscopy, which disclosed active bleeding in one of the jejunal diverticula. Two hemoclips were applied to treat the Dieulafoys lesion within the diverticulum. The patient had no bleeding during the month following treatment. Bleeding of the jejunal diverticulum is a rare clinical condition, and only a few cases have been reported in the literature with successful endoscopic treatment. A short review of the current methods of diagnosis and treatment of this rare disorder is provided.

GI haemorrhage and an incomplete colonoscopy

A 74-year-old woman without any underlying disease was admitted to our institution due to intermittent right low abdominal pain for the past 2 weeks and an episode of tarry stool. The patient reported …

Novel Use of the Tip of a Standard Diathermic Snare for Endoscopic Submucosal Dissection of a Large Gastric Adenomatous Polyp

This case report describes a 63-year-old man initially diagnosed as having a 2.5-cm gastric adenomatous polyp with low-grade dysplasia. In contrast to using conventional knives for endoscopic submucosal dissection, the standard diathermic snare tip was used as an alternative knife for endoscopic submucosal dissection of the lesion with successful en bloc resection. The procedure was performed without complications. The polyp was finally confirmed as a tubulovillous adenoma with focal high-grade dysplasia.

A life-threatening complication of a life-saving manoeuvre

An 80-year-old woman had airway obstruction while eating dinner at home. She became rapidly cyanotic and then unresponsive. A family member performed the Heimlich manoeuvre, which resulted in a successful dislodgement …

A rare cause of acute lower gastrointestinal bleeding

A 72 year old man presented to the emergency department with massive haematochezia. His medical history and …

Bad breath and weight loss

A 60-year-old man presented complaining of halitosis associated with epigastric discomfort, decreased appetite and weight loss in the previous month. His medical history was unremarkable. …