# Massive Upper Gastrointestinal Bleeding From a Duodenal Diverticulum in a Nonagenarian: A Report of a Rare Case

**Authors:** Rohan Tariq, Aiman Rashid, Muhammad Adil Zaka Khan

PMC · DOI: 10.7759/cureus.95340 · Cureus · 2025-10-24

## TL;DR

A rare case of severe stomach bleeding caused by a duodenal diverticulum in a 91-year-old woman is reported, highlighting the importance of quick diagnosis and treatment.

## Contribution

This paper presents a rare clinical case of UGI bleeding caused by a duodenal diverticulum in an elderly patient.

## Key findings

- A 91-year-old woman presented with UGI bleeding caused by a duodenal diverticulum.
- Endoscopic haemostasis successfully managed the bleeding.
- The case emphasizes the need to consider duodenal diverticula as a potential cause of UGI bleeding in elderly patients.

## Abstract

Duodenal diverticula are typically asymptomatic and incidentally discovered, but they can rarely lead to significant complications, including upper gastrointestinal (UGI) bleeding. We report the case of a 91-year-old woman who presented with melaena and haematemesis. Endoscopy revealed an actively bleeding duodenal diverticulum, which was successfully managed with endoscopic haemostasis. This case illustrates the importance of considering duodenal diverticula as a rare cause of UGI bleeding in elderly patients and highlights the role of prompt endoscopic diagnosis and treatment.

## Full-text entities

- **Diseases:** bleeding (MESH:D006470), Duodenal Diverticulum (MESH:D004382), UGI bleeding (MESH:D006471)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12603600/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC12603600/full.md

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Source: https://tomesphere.com/paper/PMC12603600