title: [Meckel's diverticulum and lower gastrointestinal bleeding. Problems of preoperative diagnosis].
abstract: 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.
authors.affiliation: Abteilung Innere Medizin I, Universität, Tübingen.
authors.forename: M
authors.initials: M
authors.lastname: Plauth
authors.forename: H
authors.initials: H
authors.lastname: Jenss
authors.forename: K E
authors.initials: KE
authors.lastname: Grund
authors.forename: E
authors.initials: E
authors.lastname: Kaiserling
authors.forename: M
authors.initials: M
authors.lastname: Skalej
authors.forename: M
authors.initials: M
authors.lastname: Starlinger
mesh_terms: 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
chemical_list: D006454:Hemoglobins
vernacular_title: Meckelsches Divertikel und untere Gastrointestinalblutung. Probleme der präoperativen Diagnose.