Open AccessSepsis caused by endoscopic clipping for colonic diverticular bleeding: A rare complication
Author(s) -
Keiichiro Kume,
Masahiro Yamasaki,
Ichiro Yoshikawa
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.3817
Subject(s) - hematochezia , medicine , colonoscopy , sepsis , complication , ascending colon , surgery , diverticulitis , diverticulum (mollusc) , clipping (morphology) , gastrointestinal bleeding , emergency department , gastroenterology , linguistics , philosophy , colorectal cancer , cancer , psychiatry
We herein report the rare complication of sepsis caused by endoscopic clipping for colonic diverticular bleeding. A 78-year-old man with a 12-h history of near syncope and painless hematochezia was admitted to our hospital. Following the transfusion of 4 U of blood and continued hematochezia, a colonoscopy was performed. Active bleeding was seen as continuous arterial spurting from a single diverticulum located in the middle ascending colon. This diverticulum was seamed by four endoclips. The next day, the patient became febrile with a temperature of 39.2 degrees C. Laboratory data included a white blood cell count of 18 100/mm(3) and a C-reactive protein level of 3.4 mg/dL. He was diagnosed with sepsis since Escherichia coli was detected in the blood culture. Antibiotics were started. Four days later his fever had improved and laboratory data improved 9 d later.