Catastrophic Gastrointestinal Bleeding: Always Consider Meckel’s Diverticulum
  • Filipa Pedro
    Unidade de Cuidados Intensivos do Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Portugal http://orcid.org/0000-0003-0158-4602
  • Joana Romano
    Serviço de Cirurgia do Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Portugal
  • Marta Rebelo
    Unidade de Cuidados Intensivos do Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Portugal http://orcid.org/0000-0003-0920-1397
  • Rogério Matias
    Serviço de Cirurgia do Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Portugal
  • Eduarda Carmo
    Unidade de Cuidados Intensivos do Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Portugal

Keywords

Systemic lupus erythematous, antiphospholipid antibodies, aPTT

Abstract

Meckel’s diverticulum, a congenital malformation of the gastrointestinal tract, is asymptomatic in the majority of patients but can be associated with some complications. Gastrointestinal bleeding is one such complication and is more common in children than in adults. Despite the variety of examinations available, diagnosis can be difficult, especially in older patients, because the sensitivity of examinations decreases with patient age. Here we present the case of a young man with gastrointestinal bleeding in whom a diagnosis of Meckel’s diverticulum was made intra-operatively.

VIEW THE ENTIRE ARTICLE

References

  • Sagar J, Kumar V, Shah DK. Meckel’s diverticulum: a systematic review. J R Soc Med 2006;99:501–505.

  • Huang CC, Lai MW, Hwang FM, et al. Diverse presentations in pediatric Meckel’s diverticulum: a review of 100 cases. Pediatr Neonatol 2014;55:369–375.

  • Sharma RK, Jain VK. Emergency surgery for Meckel's diverticulum. World J Emerg Surg 2008;3:27.

  • Malik AA, Shams-ul-Bari, Wani KA, Khaja AR. Meckel's diverticulum—revisited. Saudi J Gastroenterol 2010;16(1):3–7.

  • Martin JP, Connor PD, Charles K. Meckel's diverticulum. Am Fam Phys 2000;61(4):1037–1042.

  • Rockey DC. Occult and obscure gastrointestinal bleeding: causes and clinical management. Nat Rev Gastroenterol Hepatol 2010;7:265–279.

  • Khashab MA, Pasha SF, Muthusamy VR, et al.; ASGE Standards of Practice Committee. The role of deep enteroscopy in the management of small-bowel disorders. Gastrointest Endosc 2015;82(4):600–607.

  • Jung K, Moon W. Role of endoscopy in acute gastrointestinal bleeding in real clinical practice: an evidence-based review. World J Gastrointest Endosc 2019;11(2):68–83.

  • Oakland K, Chadwick G, East JE, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut 2019;68:776–789.

  • Pasha SF, Leighton JA, Das A, et al. Double-balloon enteroscopy and capsule endoscopy have comparable diagnostic yield in small-bowel disease: a meta-analysis. Clin Gastroenterol Hepatol 2008;6:671–676.

  • Schwartz MJ, Lewis JH. Meckel’s diverticulum: pitfalls in scintigraphic detection in the adult. Am J Gastroenterol 1984;79(8):611–618.
  • Views: 974
    HTML downloads: 99
    PDF downloads: 424


    Published: 2019-11-25
    Issue: Vol 6 No 12 (view)


    How to cite:
    1.
    Pedro F, Romano J, Rebelo M, Matias R, Carmo E. Catastrophic Gastrointestinal Bleeding: Always Consider Meckel’s Diverticulum. EJCRIM 2019;6 doi:10.12890/2019_001224.