Diverticular bleeding

Closure of a diverticular bleed with two Resolution endoclips. Active bleeding was found initially in a hepatic flexure diverticulum in a patient presenting with severe hematochezia. The upper left image shows the bleeding diverticulum following injection with dilute epinephrine (1:20,000). Clockwise image show deployment of the two clips. The area was subsequently tattooed with India ink. There was no rebleeding with six months of follow-up.