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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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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. |
format | Online Article Text |
id | pubmed-10414796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
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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