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Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 21, 2025; 31(43): 111906
Published online Nov 21, 2025. doi: 10.3748/wjg.v31.i43.111906
Utilizing the EyeMax direct visualization system for the treatment of colonic diverticular bleeding: A case report
Tian-Jie Han, Jun-Shan Li
Tian-Jie Han, Jun-Shan Li, Departments of Gastroenterology, Shandong Provincial Third Hospital, Shandong University, Jinan 250000, Shandong Province, China
Author contributions: Li JS contributed to manuscript writing and editing; Han TJ contributed to data collection; all authors reviewed and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jun-Shan Li, MD, PhD, Departments of Gastroenterology, Shandong Provincial Third Hospital, Shandong University, No. 11 Wuyingshan Middle Road, Tianqiao District, Jinan 250000, Shandong Province, China. songzhenhefan@163.com
Received: July 14, 2025
Revised: September 3, 2025
Accepted: October 20, 2025
Published online: November 21, 2025
Processing time: 130 Days and 23.2 Hours
Abstract
BACKGROUND

Colonic diverticular bleeding is a significant cause of acute overt lower gastrointestinal hemorrhage. Colonoscopy is commonly performed in patients with colonic diverticular bleeding to identify and treat the source of bleeding, which is crucial for effective management.

CASE SUMMARY

We present the case of a 70-year-old male with acute painless hematochezia. Colonoscopy showed active bleeding originating from a diverticulum, and the EyeMax direct visualization system was used in the treatment of the colonic diverticular bleeding. No further evidence of bleeding was observed at the end of the procedure. The patient was discharged from hospital on the seventh day.

CONCLUSION

The EyeMax system proved advantageous in localizing the bleeding diverticulum, thereby facilitating successful hemostatic measures.

Keywords: Colon; Diverticulum; Bleeding; Colonoscopy; Case report

Core Tip: Colonic diverticular bleeding is a significant cause of acute overt lower gastrointestinal hemorrhage. Given its propensity to spontaneously resolve in some cases, coupled with a high risk of rebleeding, it is imperative to promptly identify and address the bleeding diverticulum, thereby facilitating effective hemostasis. We present a patient who underwent successful utilization of the EyeMax direct visualization system in the treatment of colonic diverticular bleeding.