Triple Endoscopic Hemostasis for Colonic Diverticular Bleeding

Her hemoglobin level was 67 g/L. She had no history of anticoagulant or antiplatelet use.Colonoscopy identified multiple diverticula scattered throughout the entire colon. In the hepatic flexure, an approximately 5-mm diverticulum was found with a white thrombus visualized at its base .Endoscopic hemostasis was performed sequentially:First, the white thrombus was coagulated using hemostatic forceps,followed by ligation of the mucosal tissue at the base of the diverticulum with a Boston ligation device,and finally the ligated mucosal base was closed with three titanium clips.The patient’s bleeding was successfully controlled,and she was discharged 4 days after the procedure.</p>