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Meckel's diverticulum. An unusual case with ileal stricture
The American Journal of Gastroenterology
|September 1, 1981
Summary
A Meckel's diverticulum caused acute gastrointestinal bleeding and small bowel narrowing in a 31-year-old man. Histology confirmed gastric mucosa with ulceration, revealing a rare cause of intestinal stricture.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Diagnostic Imaging
Background:
- Acute gastrointestinal bleeding can present with diverse etiologies.
- Small bowel narrowing necessitates accurate preoperative diagnosis for appropriate surgical planning.
- Meckel's diverticulum is a congenital anomaly that can lead to various complications.
Observation:
- A 31-year-old male presented with acute gastrointestinal bleeding.
- Superior mesenteric angiography showed a vascular blush.
- Small bowel series revealed a corresponding area of narrowing.
Findings:
- Preoperative diagnosis suggested malignant neoplasm.
- Laparotomy revealed a Meckel's diverticulum with ulceration and stricture formation into the ileum.
- Histological examination confirmed gastric mucosa with ulceration within the diverticulum.
Implications:
- This case highlights Meckel's diverticulum as a potential cause of small bowel narrowing and gastrointestinal bleeding.
- Accurate preoperative diagnosis can be challenging, underscoring the importance of integrating imaging findings with clinical presentation.
- Understanding rare causes of intestinal stricture is crucial for effective patient management and surgical outcomes.