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Case for Thought: Meckel's Diverticulum in the Adult Population
Melanie N Rayan1, Xiaolan Tang1, Maher Khazem1
1Internal Medicine, University of Central Florida College of Medicine, Graduate Medical Education/HCA Florida North Florida Hospital, Gainesville, USA.
Cureus
|June 2, 2022
Summary
Meckel's diverticulum (MD), a congenital anomaly, can cause significant gastrointestinal bleeding in adults, not just neonates. This case highlights MD as a potential cause of GI pathology in older populations.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Congenital Anomalies
Background:
- Meckel's diverticulum (MD) is a congenital gastrointestinal anomaly typically diagnosed in neonates or presenting asymptomatically in adults.
- It is often overlooked as a cause of gastrointestinal bleeding in the adult population.
Observation:
- A 65-year-old male presented with severe gastrointestinal bleeding attributed to Meckel's diverticulum.
- Diagnosis required extensive diagnostic investigations.
Findings:
- Meckel's diverticulum can manifest as significant gastrointestinal bleeding in adults.
- This vitelline duct remnant should be considered in the differential diagnosis of adult GI pathology.
Implications:
- Challenges the perception of Meckel's diverticulum as exclusively a neonatal disorder.
- Emphasizes the importance of considering MD in adult patients with gastrointestinal bleeding.
- Discusses diagnostic and management strategies for Meckel's diverticulum in older individuals.
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