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

Minerva Gastroenterol Dietol. 2006 Jun;52(2):225-31.
[Article in English, Italian]

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Gastrointestinal Hemorrhage / etiology*
  • Humans
  • Male
  • Meckel Diverticulum / complications*
  • Meckel Diverticulum / diagnostic imaging
  • Radiography