Bleeding Meckel's diverticulum diagnosed by arteriography and radioisotope imaging

Eisenberg, David M.; Sherwood, Charles E.

doi:10.1007/bf01074940

Cited by 9 publications

(4 citation statements)

References 5 publications

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“…The omphalomesenteric artery supplies the MD and is represented on angiography as a lone branch of the superior mesenteric artery ( 15 ). It should be underlined that arteriography is helpful for the diagnosis of bleeding MD and, more specifically, superselective vitelline arteriography enables the depiction of the vitelline artery ( 5 , 10 , 13 , 27 ). When hemorrhage is taking place, arteriography is the best imaging choice.…”

Section: Discussionmentioning

confidence: 99%

Anatomical Variations of Vascular Anatomy in Meckel’s Diverticulum

Ntalianis¹,

Maloula²,

Ntalianis³

et al. 2023

ama

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Objective. The objective of the current study was to describe the anatomical variations of vessels observed in patients with Meckel’s Diverticulum.Methods. A narrative review of the literature was undertaken by means of the PubMed database, using the terms: “Meckel’s Diverticulum AND vessels”, “Meckel’s Diverticulum AND anatomical variation” and “Meckel’s Diverticulum variation”. Classical anatomical textbooks were also used for normal anatomy. Additional articles provided useful information in relation to the aim of this review. Hence, the articles that met the inclusion criteria were included in this review, and the collected data were categorized into a single table.Results. The majority of studies indicated the presence of an abnormal vitelline artery. Other angiographic findings concerned variations of the ileal and the iliac arteries. However, the literature revealed the presence of vascular variations without the existence of Meckel’s Diverticulum, whereas a remnant of the vitelline vein may be present, but it is very rare.Conclusion. The detection of vascular variations accompanying Meckel’s Diverticulum is not always easy and requires the correct choice of imaging method to prevent misdiagnosis.

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Section: Discussionmentioning

confidence: 99%

Anatomical Variations of Vascular Anatomy in Meckel’s Diverticulum

Ntalianis¹,

Maloula²,

Ntalianis³

et al. 2023

ama

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“…Bleeding Meckel's diverticula diagnosed by arteriography have been reported on many occasions [11]. Selective superior mesenteric arteriography usually demonstrates extravasation of contrast from distal ileal branches or from the ileocolic artery in the right lower quadrant of the abdomen.…”

Section: Discussionmentioning

confidence: 99%

Angiographic diagnosis of a bleeding jejunal diverticulum

Tisnado

Konerding

Beachley

et al. 1979

Gastrointest Radiol

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“…Approximately 50% of Meckel's diverticula are lined by ileal mucosa, and heterotopic gastric mucosa is present in most of the rest. However, almost all bleeding Meckel's diverticula are lined with gastric mucosa, as these diverticula produce acid with ulceration of the adjacent ileal mucosa which mostly leads to brisk LGB [34].…”

Section: Meckel's Diverticulummentioning

confidence: 99%

Genesis and pathophysiology of lower gastrointestinal bleeding

Imdahl

2001

Langenbeck's Archives of Surgery

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The incidence of lower gastrointestinal bleeding (LGB) is estimated to be 20-30 per 100,000 of the adult population at risk, which is clearly correlated with increasing age. The problem of LGB is identification of the bleeding source. LGB stops spontaneously in 80% of cases, but 10% of bleeding sources cannot be identified, and rebleeding occurs in 25%. The quality of LGB--hematochezia, melena, or occult bleeding--may point to the region of the bleeding source, as patient age is correlated with specific pathologies. In many patients, LGB is a leading symptom of a chronic disorder. Most acute peranal bleeding arises from the colon (80%) with colonic diverticula and angiodysplastic lesions as the most frequent reasons. In 5% of cases, LGB is caused by disorders of the small bowel, in most cases due to small-bowel tumors or to Meckel's diverticulum in younger patients. In 15-20%, acute peranal bleeding is caused by lesions in the upper gastrointestinal tract. The intensity of LGB determines the urgency of identification of the bleeding source; however, chronic occult blood loss superimposed by melena may place the patient at risk as early as a patient with hematochezia. Therefore, prompt resuscitation is required in many LGB patients before diagnostic procedures are initiated.

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Bleeding Meckel's diverticulum diagnosed by arteriography and radioisotope imaging

Cited by 9 publications

References 5 publications

Anatomical Variations of Vascular Anatomy in Meckel’s Diverticulum

Anatomical Variations of Vascular Anatomy in Meckel’s Diverticulum

Angiographic diagnosis of a bleeding jejunal diverticulum

Genesis and pathophysiology of lower gastrointestinal bleeding

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