Case Report: A Case Of Meckel's Diverticulum With Life-Threatening Recurrent Gastrointestinal Bleeding In An Adult

Year 2021, Volume: 38 Issue: 2s, 78 - 80, 18.03.2021

Berk Bas , Ufuk Avcıoğlu , Sultan Çalışkan

Abstract

Meckel’s diverticulum is the most common congenital anomaly of the gastrointestinal system. It results from the incomplete closure of the omphalomesenteric canal in intrauterine life. It is mostly diagnosed in childhood with intestinal obstruction and bleeding. It is uncommon and often clinically silent in adults. Also, it is difficult to diagnose the patients with symptomatic Meckel’s diverticulum. We report a 28-year-old male who presented with life-threatening recurrent lower gastrointestinal (GI) bleeding and was operated with the diagnosis of Meckel’s diverticulum with duodenal ulcer.

Keywords

Meckel’s diverticulum, congenital anomaly, recurrent lower gastrointestinal (GI) bleeding

References

• Bandi A, Tan YW, Tsang T. Correlation of gastric heterotopia and Meckel’s diverticular bleeding in children: a unique association. Pediatr Surg Int2014;30:313–6
• Clark JM, Koontz CS, Smith LA, et al. Video-assisted transumbilical Meckel’s diverticulectomy in children. Am Surg 2008;74:327–9.
• DeBartolo HM, Van Heerden JA. Meckel’sdiverticulum. AnnSurg 1976;183:30—3.
• Enge I, Frımann-Dahl J. Radıology in acute abdominal disorders due to Meckel's diverticulum. Br J Radiol 1964; 37:775.
• Geng LL, Chen PY, Wu Q, et al. Bleeding Meckel's Diverticulum in Children: The Diagnostic Value of Double-Balloon Enteroscopy. GastroenterolResPract 2017; 2017:7940851.
• Hosn MA, Lakis M, Faraj W, Khoury G, Diba S. Laparoscopic approach to symptomatic Meckel diverticulum in adults. JSLS 2014;18.
• Lin S, Suhocki PV, Ludwig KA, Shetzline MA. Gastrointestinal bleeding in adult patients with Meckel's diverticulum: the role of technetium 99m pertechnetate scan. South Med J 2002; 95:1338.
• Lüdtke FE, Mende V, Köhler H, Lepsien G. Incidence and frequency or complications and management of Meckel’s diverticulum. SurgGynecol Obstet 1989;169:537—42.
• Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950—2002). AnnSurg 2005;241:529—33.
• Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: a systematic review. J R SocMed 2006;99:501—5.
• Slívová I, Vávrová Z, Tomášková H, et al. Meckel's Diverticulum in Children-Parameters Predicting the Presence of Gastric Heterotopia. World J Surg 2018; 42:3779.