Meckel's diverticulum: Unusual cause of significant bleeding in an adult male

Saad Eddin, Assim; Chowdhury, AJ; Saad Aldin, Ehab

doi:10.1016/j.radcr.2023.07.041

Cited by 4 publications

(3 citation statements)

References 18 publications

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“…The patient arrived at the emergency department following a syncopal episode with trauma to the head. Subsequently, in the following year, Eddin et al 8 outlined the case of a 44-year-old adult male with LGIB due to Md. Initially, his hemoglobin level was 12.1 g/dL, which decreased to 9.4 g/dL after 12 h. In all four cases, similar to our own case report, patients underwent exploratory laparotomy with segmental small bowel resection to promptly address the LGIB.…”

Section: Discussionsupporting

confidence: 63%

Meckel's diverticulum: A rare and missed cause of adult gastrointestinal bleed

Ramakrishnan,

Kuang,

Rajput

et al. 2024

Clinical Case Reports

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Section: Discussionsupporting

confidence: 63%

Meckel's diverticulum: A rare and missed cause of adult gastrointestinal bleed

Ramakrishnan,

Kuang,

Rajput

et al. 2024

Clinical Case Reports

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“…There are few cases of Meckel's diverticulum combined with appendicitis in pediatric patients; therefore, there is little accurate knowledge of the age of onset in children. CT and magnetic resonance small bowel imaging or endoscopic techniques are likely to be the mainstay of Meckel’s diverticulum diagnosis in the future[ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports

Sun,

Xin,

Liu

et al. 2024

World J Clin Cases

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BACKGROUND Meckel’s diverticulum is a common congenital malformation of the small intestine, with the three most common complications being obstruction, perforation, and inflammation. To date, only a few cases have been reported worldwide. In children, the clinical symptoms are similar to appendicitis. As most of the imaging features are nonspecific, the preoperative diagnosis is not precise. In addition, the clinical characteristics are highly similar to pediatric acute appendicitis, thus special attention is necessary to distinguish Meckel’s diverticulum from pediatric appendicitis. Patients with poor disease control should undergo laparoscopic exploration to avoid serious complications, including intestinal necrosis, intestinal perforation and gastrointestinal bleeding. CASE SUMMARY This report presents three cases of appendicitis in children combined with intestinal obstruction, which was caused by fibrous bands (ligaments) arising from the top part of Meckel's diverticulum, diverticular perforation, and diverticular inflammation. All three patients, aged 11-12 years, had acute appendicitis as their initial clinical presentation. All were treated by laparoscopic surgery with a favorable outcome. A complete dataset including clinical presentation, diagnostic imaging, surgical information, and histopathologic findings was also provided. CONCLUSION Preoperative diagnosis of Meckel’s diverticulum and its complications is challenging because its clinical signs and complications are similar to those of appendicitis in children. Laparoscopy combined with laparotomy is useful for diagnosis and treatment.

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“…However, in some cases, MD can cause serious complications such as intestinal obstruction, diverticulitis or gastrointestinal bleeding, which can significantly lower haemoglobin levels, particularly in adults. 4 – 6 Other rare complications include intussusception, hernia torsion, umbilical sinus or fistula and neoplasm. 7 The incidence of complications is highest before the age of two and gradually decreases to almost none after 70 years.…”

Section: Introductionmentioning

confidence: 99%

Severe obscure gastrointestinal bleeding from Meckel’s diverticulum with predominant ectopic pancreatic tissue

Jayawickrama,

Mohamed Ozaal,

Ranaweera

et al. 2024

SAGE Open Medical Case Reports

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Obscure gastrointestinal bleeding represents about 5% of all gastrointestinal haemorrhages which is characterized by continuous or recurrent bleeding from an undetermined source after an initial bidirectional endoscopy. Meckel’s diverticulum is a rare but recognized cause of obscure gastrointestinal bleeding. A carefully selected line of investigations is paramount to localize the causative lesion in obscure gastrointestinal bleeding which is a challenge in subacute cases. We present a case of 35-year-old female with thalassemia minor and mild anaemia presented with acute gastrointestinal bleeding from the ectopic pancreatic mucosa of an Meckel’s diverticulum where only a small focus of gastric tissue was identified histologically during the follow-up. This case discusses the rarity of this histological presentation of Meckel’s diverticulum as obscure gastrointestinal bleeding and the importance of intraoperative decision-making and intraoperative enteroscopy in cases of obscure gastrointestinal bleeding when other tests are negative.

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Meckel's diverticulum: Unusual cause of significant bleeding in an adult male

Cited by 4 publications

References 18 publications

Meckel's diverticulum: A rare and missed cause of adult gastrointestinal bleed

Meckel's diverticulum: A rare and missed cause of adult gastrointestinal bleed

Appendicitis combined with Meckel’s diverticulum obstruction, perforation, and inflammation in children: Three case reports

Severe obscure gastrointestinal bleeding from Meckel’s diverticulum with predominant ectopic pancreatic tissue

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