A double Meckel's diverticulum as obscure gastrointestinal bleeding cause. Report of a case.

Abstract

Meckel's diverticulum is the most common developmental anomaly of the gastrointestinal tract, affecting 1-4% of the general population. It is usually an incidental finding during laparotomy for other causes; occasional complications are bleeding, obstruction, diverticulitis and perforation. Up to 60% of Meckel's diverticula harbor heterotopic mucosa (mostly gastric or pancreatic), neoplastic degeneration occurs in 1-5% of cases. We report herein a case of obscure gastrointestinal bleeding in a 25-years-old man, due to a double Meckel's diverticulum, both located into jejunum and ileum, harboring ectopic gastric mucosa, diagnosed by a small bowel double contrast enema and managed laparoscopically with a tangential resection. To the best of our knowledge this is an unfrequent case of such a variant of Meckel's diverticulum with ectopic gastric mucosa diagnosed by double contrast enema.

• Authors: L Mazza, M Garino, A Morgando, G Fronda, M Rizzetto
• Journal: Minerva gastroenterologica e dietologica (Minerva Gastroenterol Dietol) Vol. 52 Issue 2 Pg. 225-31 (Jun 2006) ISSN: 1121-421X [Print] Italy
• PMID: 16557192 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Gastrointestinal Hemorrhage (etiology)
• Humans
• Male
• Meckel Diverticulum (complications, diagnostic imaging)
• Radiography