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Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult

A 51-year-old male presented to the hospital with recurrent gastrointestinal bleeding. Prior work up with an esophagogastroduodenoscopy (EGD), colonoscopy, and video capsule endoscopy failed to reveal a bleeding source. Given a history of a terminal ileum diverticulum noted on previous colonoscopy a...

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Autores principales: Hariharan, Abishek, Amin, Shefali, Munankami, Salina, Shrestha, Manish, Altomare, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10414796/
https://www.ncbi.nlm.nih.gov/pubmed/37575711
http://dx.doi.org/10.7759/cureus.41723
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author Hariharan, Abishek
Amin, Shefali
Munankami, Salina
Shrestha, Manish
Altomare, John
author_facet Hariharan, Abishek
Amin, Shefali
Munankami, Salina
Shrestha, Manish
Altomare, John
author_sort Hariharan, Abishek
collection PubMed
description A 51-year-old male presented to the hospital with recurrent gastrointestinal bleeding. Prior work up with an esophagogastroduodenoscopy (EGD), colonoscopy, and video capsule endoscopy failed to reveal a bleeding source. Given a history of a terminal ileum diverticulum noted on previous colonoscopy and persistence of hematochezia, a Meckel’s scan was performed, which revealed abnormal uptake suspicious for a Meckel’s diverticulum containing ectopic gastric mucosa. After surgical resection, pathology confirmed a Meckel's diverticulum with gastric heterotopia. This case highlights the importance of considering Meckel’s diverticulum for instances of recurrent gastrointestinal bleeding, especially in patients who are still symptomatic despite an extensive workup. Moreover, it is important to note that a Meckel's diverticulum can be missed on video capsule endoscopy. 
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spelling pubmed-104147962023-08-11 Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult Hariharan, Abishek Amin, Shefali Munankami, Salina Shrestha, Manish Altomare, John Cureus Internal Medicine A 51-year-old male presented to the hospital with recurrent gastrointestinal bleeding. Prior work up with an esophagogastroduodenoscopy (EGD), colonoscopy, and video capsule endoscopy failed to reveal a bleeding source. Given a history of a terminal ileum diverticulum noted on previous colonoscopy and persistence of hematochezia, a Meckel’s scan was performed, which revealed abnormal uptake suspicious for a Meckel’s diverticulum containing ectopic gastric mucosa. After surgical resection, pathology confirmed a Meckel's diverticulum with gastric heterotopia. This case highlights the importance of considering Meckel’s diverticulum for instances of recurrent gastrointestinal bleeding, especially in patients who are still symptomatic despite an extensive workup. Moreover, it is important to note that a Meckel's diverticulum can be missed on video capsule endoscopy.  Cureus 2023-07-11 /pmc/articles/PMC10414796/ /pubmed/37575711 http://dx.doi.org/10.7759/cureus.41723 Text en Copyright © 2023, Hariharan et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Hariharan, Abishek
Amin, Shefali
Munankami, Salina
Shrestha, Manish
Altomare, John
Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult
title Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult
title_full Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult
title_fullStr Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult
title_full_unstemmed Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult
title_short Symptomatic Meckel’s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult
title_sort symptomatic meckel’s diverticulum presenting as recurrent gastrointestinal bleeding in an adult
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10414796/
https://www.ncbi.nlm.nih.gov/pubmed/37575711
http://dx.doi.org/10.7759/cureus.41723
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