Inverted Meckel's diverticulum as a source of chronic gastrointestinal blood loss

Heider, Ryan; Warshauer, David M.; Behrns, Kevin E.

doi:10.1067/msy.2000.103025

Cited by 17 publications

(6 citation statements)

References 3 publications

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“…Chronic bleeding from Meckel's diverticulum is uncommon. Few cases have been reported in adults [4,5] and 1 case in children [6], the latter in association with partial intestinal obstruction. There are various explanations for the bleeding of Meckel's diverticulum.…”

Section: Discussionmentioning

confidence: 99%

Iron Deficiency Anaemia: An Unusual Complication of Meckel’s Diverticulum

Al-Onaizi

Al-Awadi²,

Al-Dawood³

2002

Med Princ Pract

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Objectives: To describe a case of Meckel’s diverticulum with an unusual complication of iron deficiency anaemia due to chronic intestinal bleeding. Clinical Presentation and Intervention: A 12-year-old boy presented with bloody diarrhoea and abdominal pain in association with a long-standing history of black stools and progressive pallor. Biochemical tests revealed low serum iron (1.2 mmol/l) indicating iron deficiency anaemia and low serum albumin (29 g/l). The other tests were normal. Colonoscopy performed on the 8th day of hospitalization was normal. A technetium-99m pertechnetate scan showed an ectopic gastric mucosa in the Meckel’s diverticulum confirmed at surgery in the region of the antimesentric border and on histopathology. Conclusion: Findings indicated that the patient had a bleeding Meckel’s diverticulum, complicated by iron deficiency anaemia.

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Section: Discussionmentioning

confidence: 99%

Iron Deficiency Anaemia: An Unusual Complication of Meckel’s Diverticulum

Al-Onaizi

Al-Awadi²,

Al-Dawood³

2002

Med Princ Pract

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“…[7,23] Anemia from gastrointestinal bleeding of MD may result from ileal ulceration, chronic inflammation, or mucosal irritation from an inverted MD. [24] Chronic persistent anemia is less commonly seen in MD patients, but sometimes may obscure the underlying MD. [25] In a study by Suh et al, initial hemoglobin level and symptoms of gastrointestinal bleeding were used to increase the diagnostic accuracy in detecting symptomatic MD.…”

Section: Diagnosesmentioning

confidence: 99%

Epidemiology of Meckel's diverticulum: A nationwide population-based study in Taiwan

Chang

Chiu

et al. 2021

Medicine

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The diverse presentation of Meckel's diverticulum (MD) is a diagnostic challenge for clinicians and most previous studies consist of single institutional case series. The aim of this study was to review the related diagnoses of MD and to investigate the epidemiological characteristics using Taiwan's National Health Insurance Research Database. We conducted an observational study using a population-based database. Patients diagnosed with MD who concurrently received intestinal surgery were identified. We analyzed the patients’ demographic characteristics and relevant diagnoses using χ 2 test and 2-sample t test. We identified 2453 newly diagnosed MD patients from 1996 to 2013 and 1227 patients (50%) with intestinal obstruction, gastrointestinal bleeding, and acute appendicitis (acute abdominal pain) were defined as symptomatic. The male to female ratio was 2.4:1 with half of the patients experiencing symptomatic MD before the age of 20 years’ old. The age-specific and annual incidence were calculated for all MD and symptomatic MD. Among the symptomatic MD patients, intestinal obstruction was present in 583 (48%), acute appendicitis was present in 464 (38%), and gastrointestinal bleeding was present in 283 (23%) patients. Intestinal obstruction was the most common preoperative diagnosis in the 0 to 10 years and >20 years’ age groups, and acute appendicitis (acute abdominal pain) was the most common diagnosis in the 11 to 20 years’ age group. This population-based 18 years’ epidemiologic study described the distributions of MD symptoms among different age groups, which may help clinicians gain a better understanding of this diagnostically challenging gastrointestinal anomaly.

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“…This is postulated to be due to repeated mucosal trauma due to intermittent intussusception of the diverticulum and its potential ischaemic vulnerability as the diverticulum is supplied by the remnant of the vitelline artery, an end branch of the superior mesenteric artery, and has no collateral arterial supply. 4,5 Patients with an inverted Meckel's diverticulum can present with a constellation of symptoms consistent with acute or chronic gastrointestinal bleeding, intestinal obstruction or recurrent abdominal pain, depending on the complications. 3 Computed tomography (CT) is an important diagnostic tool since clinical diagnosis of inverted Meckel's diverticulum can often be challenging.…”

Section: Conflicts Of Interest: All Authors Have Disclosed No Conflicmentioning

confidence: 99%

Inverted Meckel’s Diverticulum — A Rare Complication of a Common Congenital Anomaly: A Case Report

Fung

Chiu

Cheng

2020

Hong Kong Journal of Radiology

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Inverted Meckel's diverticulum as a source of chronic gastrointestinal blood loss

Cited by 17 publications

References 3 publications

Iron Deficiency Anaemia: An Unusual Complication of Meckel’s Diverticulum

Iron Deficiency Anaemia: An Unusual Complication of Meckel’s Diverticulum

Epidemiology of Meckel's diverticulum: A nationwide population-based study in Taiwan

Inverted Meckel’s Diverticulum — A Rare Complication of a Common Congenital Anomaly: A Case Report

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