[Meckel's diverticulum and lower gastrointestinal bleeding. Problems of preoperative diagnosis].
A hitherto perfectly healthy 28-year-old man suddenly passed stools containing bright red blood, and haemoglobin concentration fell at first to 10.1 g/dl. No bleeding source was found on gastroscopy and coloscopy. Nor was the source found by enteroclysis during a bleeding-free interval. Emergency laparotomy was performed after a recurrence of massive bleeding and revealed, 60 cm oral of the ileocaecal (Bauhin's) valve, a Meckel's diverticulum with ulcerated heterotopic gastric mucosa, 5 x 3 x 2 cm in size, and this was resected. 17 red blood cell concentrates had to be infused pre- and postoperatively, but there were no further complications.
Plauth
M
M
Abteilung Innere Medizin I, Universität, Tübingen.
Jenss
H
H
Grund
K E
KE
Kaiserling
E
E
Skalej
M
M
Starlinger
M
M
D000328:Adult; D001803:Blood Transfusion; D003113:Colonoscopy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D005773:Gastroscopy; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology*; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications*; D014456:Ulcer / Q000150:complications
D006454:Hemoglobins
Meckelsches Divertikel und untere Gastrointestinalblutung. Probleme der präoperativen Diagnose.