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 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 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.

Technetium Pertechnetate Scintigraphy to Detect Ectopic Gastric Mucosa in Meckel's Diverticulum

1984 ◽  
Vol 25 (5) ◽  
pp. 417-422 ◽  
Author(s):  
M. Fries ◽  
W. Mortensson ◽  
B. Robertson
Keyword(s):  
Gastric Mucosa ◽  
Diagnostic Accuracy ◽  
Rectal Bleeding ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Infants And Children ◽  
Histologic Examination ◽  
Ectopic Gastric Mucosa ◽  
Consistent Finding ◽  
Predominant Symptom

Tc-pertechnetate scintigraphy was performed in 81 infants and children, clinically suspected to have Meckel's diverticulum with ectopic gastric mucosa. The predominant symptom was rectal bleeding and anemia. Twenty-two patients underwent laparotomy and 12 had Meckel's diverticulum with ectopic gastric mucosa. In operated patients the sensitivity of scintigraphy in detecting ectopic gastric mucosa was 0.75, the specificity 1.0 and the diagnostic accuracy 0.86; the diagnostic accuracy was estimated to 0.96 for the whole material. Histologic examination of the diverticula showed a smaller area of the ectopic mucosa in cases with negative scintigraphic findings. In addition, prominent fibrosis seemed to be a more consistent finding in cases with negative as opposed to those with positive scintigraphic findings. Presence of anemia may provide a guideline as to whether or not scintigraphy is indicated.

scholarly journals Spontaneous Hemoperitoneum: An Unusual Presentation of a Common Disease

2015 ◽  
Vol 1 (2) ◽  
pp. 36-37
Author(s):  
BV Raghunath ◽  
Vishwanath Bhat
Keyword(s):  
Gastric Mucosa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Unusual Presentation ◽  
Ectopic Gastric Mucosa ◽  
Common Disease ◽  
Common Presentation ◽  
Ileocolic Artery ◽  
Spontaneous Hemoperitoneum ◽  
Intraperitoneal Bleeding

ABSTRACT Intraluminal hemorrhage associated with ectopic gastric mucosa in a Meckel's diverticulum is a common presentation. However, intraperitoneal bleeding associated with Meckel's diverticulum, is considerably rare. Herein, we report a case of spontaneous intraperitoneal bleeding caused due to nonruptured, acutely inflammed Meckel's diverticulum causing erosion of one of the branches of ileocolic artery and presenting with peritonism. How to cite this article Raghunath BV, Bhat V. Spontaneous Hemoperitoneum: An Unusual Presentation of a Common Disease. J Med Sci 2015;1(2):36-37.

Sign in / Sign up

Export Citation Format

Share Document