Symptomatic Meckel's Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult.
| Autor: | Hariharan A; Internal Medicine, Tower Health Medical Group, West Reading, USA., Amin S; Internal Medicine, Tower Health Medical Group, West Reading, USA., Munankami S; General Medicine, Kathmandu Medical College, Kathmandu, NPL., Shrestha M; Internal Medicine, Tower Health Medical Group, West Reading, USA., Altomare J; Gastroenterology, Tower Health Medical Group, West Reading, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 Jul 11; Vol. 15 (7), pp. e41723. Date of Electronic Publication: 2023 Jul 11 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.41723 |
| Abstrakt: | A 51-year-old male presented to the hospital with recurrent gastrointestinal bleeding. Prior work up with an esophagogastroduodenoscopy (EGD), colonoscopy, and video capsule endoscopy failed to reveal a bleeding source. Given a history of a terminal ileum diverticulum noted on previous colonoscopy and persistence of hematochezia, a Meckel's scan was performed, which revealed abnormal uptake suspicious for a Meckel's diverticulum containing ectopic gastric mucosa. After surgical resection, pathology confirmed a Meckel's diverticulum with gastric heterotopia. This case highlights the importance of considering Meckel's diverticulum for instances of recurrent gastrointestinal bleeding, especially in patients who are still symptomatic despite an extensive workup. Moreover, it is important to note that a Meckel's diverticulum can be missed on video capsule endoscopy. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Hariharan et al.) |
| Databáze: | MEDLINE |
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