scholarly journals Meckel's diverticulum in an adult: an obscure presentation of gastrointestinal bleeding

2016 ◽  
pp. bcr2015213852
Author(s):  
Vijay Pattni ◽  
Kathryn Wright ◽  
Peter Marden ◽  
Ana Terlevich
Keyword(s):  
Gastrointestinal Bleeding ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

scholarly journals A case of adult Meckel's diverticulum with gastrointestinal bleeding

2003 ◽  
Vol 115 (2) ◽  
pp. 119-123
Author(s):  
Yoshinori MORIMOTO ◽  
Hiromi IWAGAKI ◽  
Norio MORISHITA ◽  
Hitoshi NAKAGAWA ◽  
Nagahide MATSUBARA ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

scholarly journals Dyspepsia Meckeli

1990 ◽  
Vol 4 (4) ◽  
pp. 157-159
Author(s):  
Don Clark ◽  
Dilip G Patel
Keyword(s):  
Duodenal Ulcer ◽  
Gastrointestinal Bleeding ◽  
Acute Abdomen ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Duodenal Ulcer Disease ◽  
Ulcer Disease

A 40-year-old male was seen for evaluation of minor gastrointestinal bleeding. The patient had received an H2blocker as an outpatient for suspicion of duodenal ulcer disease. At endoscopy no lesion was seen and H2blockers were discontinued. The patient developed acute abdomen and at surgery a perforated Meckel's diverticulum was found.

scholarly journals Specific characteristics of hemorrhagic Meckel’s diverticulum at double-balloon endoscopy

2017 ◽  
Vol 05 (01) ◽  
pp. E35-E40
Author(s):  
Yasuyuki Mizutani ◽  
Masanao Nakamura ◽  
Osamu Watanabe ◽  
Takeshi Yamamura ◽  
Kohei Funasaka ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Gastrointestinal Bleeding ◽  
Medical Records ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Diagnostic Ability ◽  
Double Balloon Endoscopy ◽  
Double Balloon

Abstract Background and study aims Diagnosis of Meckel’s diverticulum (MD) before surgery may be challenging; double-balloon endoscopy (DBE) facilitates identification of MD in the setting of a gastrointestinal bleeding; however, MD can be found incidentally without this condition. The purpose of this research was to determine specific characteristic of hemorrhagic MD and incidental MD at DBE. Patients and methods Ectopic gastric mucosa enclosed in the MD and/or ulceration were defined as “major findings”; ring-like scar surrounding the MD was defined as “minor finding”. We retrospectively reviewed the medical records of patients affected by MD and analyzed the findings that significantly affected the characterization of MD. Results MD was diagnosed in 33 patients. The axis of the diverticulum was longer in hemorrhagic MD compared to incidental MD (P = 0.031). The amount of transfusion was significantly higher (P = 0.018) in the hemorrhagic MD group. Hemorrhagic MD was significantly more correlated with major findings (P = 0.01) and minor findings (P < 0.01). The specificity of major finding was 100 % while the sensitivity of major and/or minor findings was 96 %. Conclusions The combination of major and minor findings appears to improve the diagnostic ability of hemorrhagic MD avoiding unnecessary diverticulectomy.

Laparoscopic Diagnosis and Treatment of Meckel's Diverticulum Complicated by Gastrointestinal Bleeding

1993 ◽  
Vol 3 (2) ◽  
pp. 145-148 ◽  
Author(s):  
MIGUEL ECHENIQUE ◽  
ALBERT SUAREZ DOMINGUEZ ◽  
IGNACIO ECHENIQUE ◽  
VIDAL RIVERA
Keyword(s):  
Gastrointestinal Bleeding ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Diagnosis And Treatment

scholarly journals Catastrophic Gastrointestinal Bleeding: Always Consider Meckel’s Diverticulum

2019 ◽  
Author(s):  
Filipa Pedro ◽  
Joana Romano ◽  
Marta Rebelo ◽  
Rogério Matias ◽  
Eduarda Carmo
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Bleeding ◽  
Congenital Malformation ◽  
Older Patients ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Patient Age ◽  
Patient Âgé

Meckel’s diverticulum, a congenital malformation of the gastrointestinal tract, is asymptomatic in the majority of patients but can be associated with some complications. Gastrointestinal bleeding is one such complication and is more common in children than in adults. Despite the variety of examinations available, diagnosis can be difficult, especially in older patients, because the sensitivity of examinations decreases with patient age. Here we present the case of a young man with gastrointestinal bleeding in whom a diagnosis of Meckel’s diverticulum was made intra-operatively.

scholarly journals Clinical Practice Recurrent Severe Obscure Gastro Intestinal- Bleeding in a 20 Year Old Man

2014 ◽  
Vol 11 (1) ◽  
pp. 81-85
Author(s):  
M Breidert ◽  
A Mandal ◽  
A Koller ◽  
N Huellebrand ◽  
B Malla
Keyword(s):  
Gastrointestinal Bleeding ◽  
Meckel’S Diverticulum ◽  
Exploratory Laparotomy ◽  
Meckel's Diverticulum ◽  
Intestinal Bleeding ◽  
Gi Bleeding ◽  
Double Balloon Enteroscopy ◽  
Morbus Osler ◽  
Massive Gastrointestinal Bleeding ◽  
Time Of Admission

Morbus Osler-Weber-Rendu syndrome also known as Hereditary hemorrhagic telangiectasia (HHT) and Meckel’s diverticulum is a rare combination disorder. Our case presented with the recurrent obscure gastrointestinal (GI) bleeding for several years. He came with a massive active lower gastrointestinal bleeding. Ultimatively, he underwent an exploratory laparotomy along with intraoperative colonoscopy. A Meckel’s diverticulum in combination with multiple erosions was found as a probable cause of the massive gastrointestinal bleeding. An ileo-caeacal resection had been performed and by the pathologist multiple telangiectasias in the resected ileum were established. Blood was sent for genetics and was negative for ENG, ALK-1, and SMAD-4 genes. The patient was discharged after 10 days from time of admission and is under regular follow up without any further bleeding. In this case, despite sophisticated techniques for investigations the cause of the GI-bleeding with several esophagogastroduodenoscopies and colonoscopies, mesenteric angiography and finally an oral double balloon enteroscopy was misdiagnosed till the intra operative endoscopy showed a middle GI-bleeding. The management for obscure GI-bleeding is discussed for countries with lower medical facilities like Nepal in our case with Morbus Osler-Weber-Rendu syndrome. DOI: http://dx.doi.org/10.3126/kumj.v11i1.11034 Kathmandu University Medical Journal Vol.11(1) 2013: 81-85

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