scholarly journals Bleeding Meckel’s Diverticulum in a 33-Year-Old Female Diagnosed with Video Capsule Endoscopy and a Technetium-99 m Pertechnetate Scan with a Favorable Response to H2 Blocker and PPI

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Gregor Krstevski ◽  
Urim Isahi ◽  
Vladimir Andreevski
Keyword(s):  
Surgical Treatment ◽  
Capsule Endoscopy ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Acid Suppression ◽  
Video Capsule Endoscopy ◽  
Fistula Formation ◽  
Definitive Treatment ◽  
Ectopic Gastric Mucosa ◽  
H2 Blocker

Meckel’s diverticulum is a true diverticulum consisting of all three layers of the small intestine resulting from incomplete regression of the vitelline duct. While it is often benign, it can present with serious complications such as intussusception, ulceration, torsion, hemorrhage, obstruction, inflammation, and fistula formation. Although it typically presents in infancy and early childhood, it can also manifest much later into adulthood. We report a case of Meckel’s diverticulum complicated by significant bleeding in a 33-year-old female patient. Diagnosis was accomplished with video capsule endoscopy and a technetium-99 m pertechnetate scan. The patient responded well to acid suppression, initially with an H2 blocker and later with a PPI (proton pump inhibitor), and remained asymptomatic for nearly four months in the interim to definitive surgical treatment. Microscopic examination of the resected diverticulum confirmed the presence of ectopic gastric mucosa. A PubMed literature search revealed several similar cases of Meckel’s diverticulum complicated by hemorrhage with a favorable response to H2 blockers and PPIs. While surgical resection remains the mainstay of definitive treatment, medications aimed at acid suppression can delay the need for urgent surgery, allow for diagnostic assessment, and optimize conditions for elective surgical treatment.

scholarly journals Meckel’s diverticulum on third-generation video capsule endoscopy: intradiverticular ulcer, ectopic gastric mucosa, and active bleeding

Endoscopy ◽  
2018 ◽  
Vol 50 (08) ◽  
pp. E205-E207
Author(s):  
Jean-Philippe Le Mouel ◽  
Julie Morvan ◽  
Mathurin Fumery ◽  
Sami Hakim ◽  
Richard Delcenserie ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Capsule Endoscopy ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Active Bleeding ◽  
Video Capsule Endoscopy ◽  
Ectopic Gastric Mucosa ◽  
Third Generation

scholarly journals Meckel’s diverticulum diagnosis by video capsule endoscopy: A case report and review of literature

2018 ◽  
Vol 6 (14) ◽  
pp. 791-799 ◽  
Author(s):  
Diego García-Compeán ◽  
Alan R Jiménez-Rodríguez ◽  
Ángel N Del Cueto-Aguilera ◽  
Gilberto Herrera-Quiñones ◽  
José A González-González ◽  
...  
Keyword(s):  
Case Report ◽  
Capsule Endoscopy ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Video Capsule Endoscopy ◽  
Review Of Literature

scholarly journals Bleeding Meckel's Diverticulum in an Infant - A Case Report

2014 ◽  
Vol 34 (1) ◽  
pp. 54-56
Author(s):  
MK Shrestha ◽  
RL Gurubacharya ◽  
K Devkota ◽  
N Agarwal
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Gastric Mucosa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Gi Bleeding ◽  
Lower Gi Bleeding ◽  
High Index Of Suspicion ◽  
Congenital Diverticulum

Meckel’s diverticulum is a congenital diverticulum. Mostly it is asymptomatic. In children the commonest complication is lower GI bleeding. High index of suspicion is required for its diagnosis. Technetium-99m pertechnetate scan is useful to detect ectopic gastric mucosa. Surgical treatment of symptomatic Meckel’s diverticulum is diverticulectomy or ileal resection.DOI: http://dx.doi.org/10.3126/jnps.v34i1.9523J Nepal Paediatr Soc 2014;34(1):54-56

scholarly journals A Case Report of Adenocarcinoma in a Meckel's Diverticulum Arising from Ectopic Gastric Mucosa

2015 ◽  
Vol 76 (9) ◽  
pp. 2231-2236 ◽  
Author(s):  
Yuichiro OKUMURA ◽  
Susumu MIYAZAKI ◽  
Kazumasa FUJITANI ◽  
Hiroaki FUSHIMI ◽  
Katsuki DANNO ◽  
...  
Keyword(s):  
Case Report ◽  
Gastric Mucosa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa

scholarly journals Meckel’s diverticulum with intraperitoneal hemorrhage in a child detected with screening laparoscopy: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kazuki Wakizaka ◽  
Lee Wee Khor ◽  
Kazuya Annen ◽  
Tsuyoshi Fukushima ◽  
Mitsuko Furuya ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Gastric Mucosa ◽  
Meckel’S Diverticulum ◽  
Lower Abdominal Pain ◽  
Abdominal Distension ◽  
Small Bowel Resection ◽  
Massive Bleeding ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Intraperitoneal Hemorrhage

Abstract Background The most common presentation of symptomatic Meckel’s diverticulum (MD) are intestinal obstruction, gastrointestinal hemorrhage, and inflammation of the MD with or without perforation. Intraperitoneal hemorrhage because of MD is extremely rare. We report a case of MD with intraperitoneal hemorrhage in a child detected with screening laparoscopy. Case presentation An 11-year-old girl presented to another hospital with lower abdominal pain and vomiting that lasted for 2 days. Acute appendicitis was suspected, and she was referred to our department. Abdominal enhanced computed tomography showed an abscess in the lower abdomen with ascites in the pelvis. She was diagnosed with a localized intra-abdominal abscess and the decision was made to treat with antibiotics. However, her abdominal pain worsened, with abdominal distension, tenderness and guarding. She was diagnosed with panperitonitis and the decision was made for surgery 5 h after admission. During surgery, laparoscopic observation from the umbilical region revealed 200 ml of fresh blood throughout the peritoneal cavity, originating from the mesentery of the ileum. MD was observed with bleeding from the surrounding mesentery. Small bowel resection was performed, and the patient was discharged on the 5th postoperative day. Pathological findings revealed an MD containing ectopic gastric mucosa and small intestinal ulcer perforation at the base of the MD. Conclusions We report an extremely rare case of an MD with intraperitoneal hemorrhage in a child. In pediatric cases, it is possible that perforation with ectopic gastric mucosa may cause massive bleeding because of rupture of the surrounding mesenteric blood vessels.

scholarly journals Littre Hernia: A Rare Case of an Incarcerated Meckel’s Diverticulum

2017 ◽  
Vol 03 (02) ◽  
pp. E91-E92 ◽  
Author(s):  
Brian Malling ◽  
Andreas Karlsen ◽  
Jesper Hern
Keyword(s):  
Congenital Anomaly ◽  
Small Intestine ◽  
Rare Case ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Common Complication ◽  
Vitelline Duct ◽  
Littre Hernia

A Meckel’s diverticulum is a remnant of the vitelline duct, which leads to the formation of a true diverticulum containing all layers of the small intestine. The diverticulum can contain ectopic gastric, duodenal or pancreatic tissue and is the most common congenital anomaly of the gastrointestinal tract with estimates of prevalence ranging from 0.3% to 3%. The condition is usually clinically silent. In children the most common complication is gastrointestinal bleeding caused by ulceration due to the acid secretion by ectopic gastric mucosa.

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