J Korean Soc Radiol.  2017 Nov;77(5):309-312. 10.3348/jksr.2017.77.5.309.

Embolization of a Life-Threatening Hemorrhage from Meckel's Diverticulum in an Adult

• Kim CR
• Kim JW
• Byun SS
• Kim JH

• KMID: 2394044
• DOI: http://doi.org/10.3348/jksr.2017.77.5.309

Abstract

Hemorrhage from Meckel's diverticulum is very rare in adults. However, it should not be overlooked as a possible cause of gastrointestinal bleeding, since hemorrhage from Meckel's diverticulum can be acute and massive. We report a case a 29-year-old man having Meckel's diverticulum in with life-threatening hemorrhage. This case emphasizes the potential role of transcatheter arterial embolization during the early detection period, and proper management of massive hemorrhage from Meckel's diverticulum.

MeSH Terms

Adult*
Angiography
Embolization, Therapeutic
Hemorrhage*
Humans
Meckel Diverticulum*

Figure

• 

  Fig. 1 A 29-year-old man presented with a one-day history of hematochezia. A, B. Enhanced axial CT scans show a blind-ending intestinal pouch (arrows) with enhancing mucosa arising from pelvic ileum in the right lower abdomen. The evidence of active bleeding (extravasation of contrast medium) was not seen on CT images. CT = computed tomography

• 

  Fig. 2 A 29-year-old man presented with a one-day history of hematochezia. A. Superior mesenteric arteriogram shows an abnormally dilated vitellointestinal artery (arrowheads) originating from the ileal artery without anastomoses to other ileal branches, and extravasation of contrast medium from its distal end (arrow). B. Post-embolization radiograph shows NBCA cast in the distal end of the vitellointestinal artery (arrow) and extravasated contrast medium accumulated in the diverticular lumen (asterisk). NBCA = n-butyl cyanoacrylate

• 

  Fig. 3 Surgical specimen shows Meckel's diverticulum with transmural acute inflammation and ulcer.

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