Clin Endosc.  2022 Jan;55(1):163-165. 10.5946/ce.2021.260.

A Rare Case of Massive Hematochezia

• Lee SH
• Park SC
• Lee SK

• KMID: 2525066
• DOI: http://doi.org/10.5946/ce.2021.260

Figure

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  Fig. 1. (A, B) Colonoscopy revealing blood clots up to the terminal ileum without identifying a lesion as a source of the bleeding in the large bowel. (C) Abdominopelvic computed tomography scan showing no evidence of active contrast extravasation. (D) Capsule endoscopy showing bleeding linear ulcers in the distal ileum. (E, F) Endoscopic findings during surgery reveal continuous bleeding from a circular linear ulcer with a double-lumen sign.

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  Fig. 2. (A) Macroscopic specimen from the surgical resection revealing circular. (B) Histologic examination showing ectopic pancreatic tissue in the diverticulum (hematoxylin and eosin stain, ×100).

Reference

1. Hansen CC, Søreide K. Systematic review of epidemiology, presentation, and management of Meckel’s diverticulum in the 21st century. Medicine (Baltimore). 2018; 97:e12154.

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

3. Uppal K, Tubbs RS, Matusz P, Shaffer K, Loukas M. Meckel’s diverticulum: a review. Clin Anat. 2011; 24:416–422.

4. Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg. 2005; 241:529–533.

5. Zarand A, Bajtai A, Baranyai Z, Dede K, Jakab F. Inflammation of ectopic pancreatic tissue in a Meckel’s diverticulum causing acute abdominal symptoms: a case report and review of the literature. Int J Surg Pathol. 2011; 19:359–363.

6. Lin S, Suhocki PV, Ludwig KA, Shetzline MA. Gastrointestinal bleeding in adult patients with Meckel’s diverticulum: the role of technetium 99m pertechnetate scan. South Med J. 2002; 95:1338–1341.

7. Méndez-García C, Suárez-Grau JM, Rubio-Chaves C, Martín-Cartes JA, Docobo-Durántez F, Padillo-Ruiz J. Surgical pathology associated with Meckel´s diverticulum in a tertiary hospital: 12 year review. Rev Esp Enferm Dig. 2011; 103:250–254.

8. Hong SN, Jang HJ, Ye BD, et al. Diagnosis of bleeding Meckel’s diverticulum in adults. PLoS One. 2016; 11:e0162615.