Abstract
A 19-year-old woman in her 6th month of pregnancy was admitted to our hospital after passing a massive bloody stool. Romanoscopy and upper gastrointestinal panendoscopy revealed no abnormality, but a superior mesenteric arteriography demonstrated an embryonic artery with the extravasation of contrast medium in the distal end of the ileal artery. After the diagnosis of a bleeding Meckel's diverticulum had been established, an emergency operation was successfully performed. At laparotomy, a Meckel's diverticulum was found, about 70 cm toward the oral side from the ileocecal valve, and part of the ileum, including the diverticulum, was resected. Histological examination indicated that the diverticulum had a normal ileal layer with ectopic gastric mucosa and pancreatic tissue. Furthermore, multiple ulcers were observed in the adjacent ileum. Blood coagulation was observed at the site of one of these ulcers, and this was presumed to be the source of the hemorrhage.
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References
Mackey WC, Dineen P (1983) A 50-year experience with Meckel's diverticulum. Surg Gynecol Obstet 156:56–64
Amoury RA (1986) Meckel's diverticulum. In: Welch KJ (eds) Pediatric surgery. Year Book Medical, Chicago, pp 859–867
Yamaguchi M, Takeuchi S, Awazu S (1978) Meckel's diverticulum — Investigation of 600 patients in Japanese literature. Am J Surg 136:247–249
Jewett TC, Duszynski DO, Allen JE (1970) The visualization of Meckel's diverticulum with 99mTc-pertechnetate. Surgery 68:567–570
Maglinte DD, Elmore MF, Isenberg M, Dolan PA (1980) Meckel's diverticulum: Radiologic demonstration by enteroclysis. Am J Roentgenol 134:925–932
Diamond T, Russell CFG (1985) Meckel's diverticulum in the adult. Br J Surg 72:480–482
Rutherford RB (1966) Meckel's diverticulum: A review of 148 pediatric patients with special reference to pattern of bleeding and to mesodiverticular vascular bands. Surgery 59:618–626
Hall TJ (1975) Meckel's bleeding diverticulum diagnosed by mesenteric arteriography. Br J Surg 62:882–884
Faris JC, Whitley JE (1973) Angiographic demonstration of Meckel's diverticulum. Radiology 108:285–286
Takeda I, Nakano S, Kitamura K, Watahiki H, Iinuma Y, Takenaka M (1977) A bleeding Meckel's diverticulum diagnosed by arteriography. Gastroenterol Japonica 12:76–79
Aggarwal S, Kumar A, Nijhawan S, Arora A, Sharma S (1989) Bleeding Meckel's diverticulum demonstrated by digital subtraction angiography. Pediatric Radiology 19:438
Okazaki M, Higashihara H, Yamasaki S, Akita Y, Toriya H, Shirai Z (1990) Arterial embolization to control life-threatening hemorrhage from a Meckel's diverticulum. Am J Roentgenol 154:1257–1258
Farr CM, Iqbal R, Bezmalinovic Z, Gladen HE, Stern R (1989) Bleeding Meckel's diverticulum in an adult. J Clin Gastroenterol 11:208–210
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Kitsuki, H., Iwasaki, K., Yoshitomi, S. et al. An adult case of bleeding meckel's diverticulum diagnosed by preoperative angiography. Surg Today 23, 926–928 (1993). https://doi.org/10.1007/BF00311374
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DOI: https://doi.org/10.1007/BF00311374