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Bleeding Meckel's diverticulum in an adult
C M Farr1, R Iqbal, Z Bezmalinovic
1Department of Medicine, University of California, San Francisco.
Journal of Clinical Gastroenterology
|April 1, 1989
Summary
A nuclear red blood cell scan effectively located bleeding from a Meckel
Area of Science:
- Gastroenterology
- Nuclear Medicine
- Diagnostic Imaging
Background:
- Meckel's diverticulum is a congenital anomaly that can cause gastrointestinal bleeding.
- Diagnosing bleeding Meckel's diverticulum in adults can be challenging after excluding common causes like peptic ulcers or colorectal disease.
Observation:
- A 41-year-old male patient presented with gastrointestinal bleeding.
- Panendoscopy ruled out peptic ulcer and colorectal disease as the source of bleeding.
Findings:
- A 99mtechnetium pertechnetate nuclear red blood cell scan successfully localized the bleeding site to a Meckel's diverticulum.
- The scan demonstrated the value of nuclear red blood cell imaging in identifying obscure gastrointestinal bleeding sources.
Implications:
- Nuclear red blood cell scanning is a valuable tool for diagnosing Meckel's diverticulum bleeding in adults.
- This case highlights the importance of considering Meckel's diverticulum in adult patients with unexplained gastrointestinal bleeding.