Treatment of a bleeding colonic diverticulum

An oozing visible vessel (arrow) can be seen at the mouth of a sigmoid diverticulum (arrowhead, Panel A). The vessel was treated with combination endoscopic therapy using epinephrine injection (1:10,000 dilution) followed by Gold probe electrocautery (Panel B). The area was then tattooed with India ink for easy identification in the event of rebleeding or the need for surgery.