Bleeding Meckelʼs Diverticulum in an Adult

Farr, C; Iqbal, Ramiz; Bezmalinovic, Zrino; Gladen, Herbert E.; Stern, Ruth

doi:10.1097/00004836-198904000-00019

Cited by 4 publications

(5 citation statements)

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“…Bleeding is the most dangerous complication of a Meckel's diverticulum [3,5,8]. It is more common in children, where it is usually massive and sudden, presenting as a bright red rectal bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…Obstruction is the second-most-common complication of a Meckel's diverticulum in children and is most common in adults [2,5,8]. The mechanism of obstruction may be from intussusception of the diverticulum into the small bowel.…”

Section: Discussionmentioning

confidence: 99%

“…It is often mistaken preoperatively for appendicitis [5]. It may be caused by diverticulitis, peptic ulceration of the gastric stomach, or an impacted foreign body.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is notorious for a high false-negative rate, especially in adults [5,10,12]. The "Meckel's scan," o r T c 99 pertechnetate radionucleide scan, attempts to image ectopic gastric mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…Meckel's diverticulum is a common anomaly of the gastrointestinal tract with an incidence of 1-3% [5]. Complications have traditionally required laparotomy [2, 3, 5-8, 10, 12] for treatment and often for diagnosis.…”

mentioning

confidence: 99%

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Laparoscopic treatment of Meckel's diverticulum

Sanders

1995

Surg Endosc

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We present two cases in which complication of a Meckel's diverticulum were dealt with, and in one case diagnosed using the laparoscope. One was a large bleeding diverticulum containing ectopic gastric mucosa, with the diagnosis suggested preoperatively, confirmed laparoscopically, and the pathology resected extracorporeally. The second was a partial intermittent small-bowel obstruction due to torsion around the mesodiverticular band, diagnosed and resected via the laparoscope. The literature of Meckel's diverticula and complications is reviewed, with open and laparoscopic treatment options. Although uncommon, many cases of Meckel's diverticulum may be quite suitable for laparoscopic diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…It is often mistaken preoperatively for appendicitis [5]. It may be caused by diverticulitis, peptic ulceration of the gastric stomach, or an impacted foreign body.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Laparoscopic treatment of Meckel's diverticulum

Sanders

1995

Surg Endosc

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An adult case of bleeding meckel's diverticulum diagnosed by preoperative angiography

et al. 1993

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A 19-year-old woman in her 6th month of pregnancy was admitted to our hospital after passing a massive bloody stool. Romanoscopy and upper gastrointestinal panendoscopy revealed no abnormality, but a superior mesenteric arteriography demonstrated an embryonic artery with the extravasation of contrast medium in the distal end of the ileal artery. After the diagnosis of a bleeding Meckel's diverticulum had been established, an emergency operation was successfully performed. At laparotomy, a Meckel's diverticulum was found, about 70 cm toward the oral side from the ileocecal valve, and part of the ileum, including the diverticulum, was resected. Histological examination indicated that the diverticulum had a normal ileal layer with ectopic gastric mucosa and pancreatic tissue. Furthermore, multiple ulcers were observed in the adjacent ileum. Blood coagulation was observed at the site of one of these ulcers, and this was presumed to be the source of the hemorrhage.

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