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Bleeding Meckel's diverticulum in an adult.
F J Baumgartner1, G H White, P D Colman
1Department of Surgery, Harbor/UCLA Medical Center, Torrance 90509.
Journal of the National Medical Association
|August 1, 1990
Summary
Diagnosing symptomatic Meckel
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Symptomatic Meckel's diverticulum is rare in adults.
- Bleeding Meckel's diverticulum after childhood is exceptionally infrequent.
Observation:
- A 24-year-old male presented with significant gastrointestinal hemorrhage.
- The bleeding was attributed to a Meckel's diverticulum containing ectopic gastric mucosa.
Findings:
- A Meckel's scan using Tc 99m pertechnetate successfully identified the diverticulum.
- Tc 99m-labeled red cell scan and angiography failed to detect the source of bleeding.
Implications:
- This case highlights the diagnostic challenges of Meckel's diverticulum in adults.
- Early diagnosis and appropriate imaging are crucial for managing gastrointestinal bleeding from Meckel's diverticulum.