CT diagnosis of a post-embolization ischemic diverticulitis of Meckel

Abstract

A 23-year-old man presented with hypovolemic shock due to a lower gastrointestinal bleeding. Radiological and endoscopic investigation did not reveal the bleeding site. Emergency visceral angiography showed contrast extravasation at a right-sided branch of the superior mesenteric artery (SMA). Embolization of the bleeding point was performed, resulting in bleeding cessation. One week later, the patient presented with a new episode of moderate anal blood loss associated with diffuse abdominal pain. Computed tomography (CT) revealed an ischemic small bowel diverticulum that was treated by a laparoscopically-assisted segmental small bowel resection. Intraoperative and pathologic analysis confirmed a post-embolization ischemic diverticulitis of Meckel.

The incidence, gross and histological features of Meckel’s diverticulum: A cadaveric study

“…If entire VI duct remains patent, invaginations, obstruction, ulceration, perforation, vesicodiverticular fistula, tumours, abdominal pain due to acid secretion from gastric mucosa of it, strangulation, hernia, intussusceptions, volvulus etc may occur as complications. 3,4 As the age advances, risk for complication progressively declines. 5 The risk of developing complications with signs and symptoms is estimated at about 4.8% of the population having the anomaly.…”