Massive bleeding in an adult patient suffering from Meckel's diverticulum (original) (raw)
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Meckel’s Diverticulum with Gastrointestinal Bleeding: Role of Computed Tomography in Diagnosis
Digestive Diseases and Sciences, 2010
A 26-year-old white male with a prior history of a benign cardiac arrhythmia and seasonal allergies presented with gastrointestinal bleeding and anemia. Two months prior to admission, he was seen in an urgent care clinic with intermittent, crampy left lower quadrant abdominal pain, worse 15-60 min after eating, and associated with alternating constipation and diarrhea. During that visit, a comprehensive metabolic panel, complete blood cell count and right upper quadrant ultrasound were normal. The patient was given the diagnosis of ''vigorous gastrocolic reflex'' and was successfully treated with MiralaxÒ.
Bleeding meckel's diverticulum
Gastrointestinal Endoscopy, 2004
A 52-year-old woman underwent capsule endoscopy because of a 20-year history of GI bleeding of obscure origin. The medical history included amenorrhea because of cervical agenesis and congenital agenesis of one kidney. She did not take non-steroidal anti-inflammatory drugs. Repeated upper endoscopy, colonoscopy, push enteroscopy enteroclysis, and CT of
A 48- Year- Old Man with Recurrent Gastrointestinal Bleeding
The new england journal of medicine n engl j med 351;5 www.nejm.From the Gastroenterology Unit (M.D.K.) and the Departments of Surgery (R.P.), Radiology (S.D.A.), and Pathology (J.M.), Massachusetts General Hospital; and the Departments of Medicine (M.D.K.), Surgery (R.P.), Radiology (S.D.A.), and Pathology (J.M.), Harvard Medical School. N Engl J Med 2004;351:488-95.
Case 10271 An uncommon cause of digestive bleeding: diagnostic approach and interventional treatment
Clinical History A 45-year-old male patient presented with a sudden onset of epigastric pain and progressive asthenia. He was quite pale, tachycardic (HF 126 bpm), normocitic and normochromic anemia (Hb 7g/dl, MCV 80fl), serum amylase 180 IU/l. Alcohol intake 5-6U/day for 20 years. Smoker (30PY). A digital rectal examination revealed melena. Imaging Findings A digestive endoscopy showed a neoformation of the posterior gastric wall (Fig. 1), with a focal and bleeding corrosion in the central region. A 16-Row MDCT imaging of abdomen showed a pseudo-nodular injury (43 x 28mm) at the pancreatic tail, with a mild compression against the lesser gastric curvature, and a slightly hyperdense appearance at basal images, with slow filling after administration of contrast medium, most evident in the venous phase (Fig. 2a-b). The slight inhomogeneity of pancreatic tail and irregular appearance of the duct of Wirsung gave evidence for chronic pancreatitis (Fig. 2c). Digestive haemorrhage was seco...
Catastrophic Gastrointestinal Bleeding: Always Consider Meckel’s Diverticulum
2019
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. LEARNING POINTS Meckel’s diverticulum is more commonly found in children than in adults and can cause gastrointestinal bleeding. The diagnosis of Meckel’s diverticulum can be complicated, especially in adults because the sensitivity of examinations decreases with patient age. Despite appropriate diagnostic evaluation, Meckel’s diverticulum is sometimes only diagnosed at surgery.
ACG Case Reports Journal, 2018
A 72-year-old woman with hypertension, hyperlipidemia, type 2 diabetes mellitus, and chronic back pain was admitted for 3 episodes of large-volume, maroon-colored stools with blood clots. She denied fever, chills, dizziness, shortness of breath, chest pain, palpitations, abdominal pain, nausea, and vomiting. Her past surgical history included cholecystectomy, abdominal hysterectomy, and hernia repair. There was no previous history of gastrointestinal (GI) bleeding. She had been taking ibuprofen chronically for back pain. On presentation, blood pressure was 130/59 mm Hg and heart rate was 81 beats/min without orthostatic changes. Abdominal examination did not reveal any tenderness or organomegaly. Initial laboratory tests revealed hemoglobin 8.1 g/dL, platelet count 254 Â 10 9 /L, serum blood urea nitrogen (BUN) 21 mg/dL, and serum creatinine 1.2 mg/dL; other laboratory values were within normal limits. Her baseline hemoglobin, serum BUN, and creatinine the prior month were 8.1 g/dL, 17 mg/dL, and 1.1 mg/dL, respectively.