Bleeding Duodenal Ulcer
LEFT: Active oozing of blood from the upper edge of a fibrin-based ulcer in the duodenal bulb of a 69 year-old man.
CENTER: Rounded protuberance represents a visible vessel responsible for bleeding from a duodenal ulcer in this 69 year-old woman with hematemesis (vomiting blood). Vessel shown here between spurts of bleeding.
RIGHT: 48 year-old woman with hematemesis and melena. Endoscopy revealed a sentinel clot attached to an underlying ulcer in the duodenal bulb, with active bleeding. The lesion was successfully cauterized with a bipolar gold probe, achieving hemostatic control.
75 year-old man with hematemesis and melena. Endoscopy revealed a "sentinel clot" attached to a cresenteric ulcer in the duodenum (LEFT). Lavage dislodged the clot, revealing the underlying raised "visible vessel" (CENTER). The vessel was successfully eradicated via cautery with the bipolar gold probe (RIGHT).
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