title: [Recurrent lower digestive hemorrhage in young adults: a surgical indication].
abstract: The cause of low digestive bleeding remains unknown despite numerous investigations in less than 15% of cases. The case of a 22-year-old young female who presented 3 episodes of low digestive bleeding during a 25 months period, without any cause identified despite numerous investigations, is presented. Laparoscopy performed to establish a diagnosis showed a large Meckel's diverticulum which was removed. In adults, Meckel's diverticulum causes uncommonly symptoms and are revealed by an episode of digestive bleeding in less than 10% of cases. After several episodes of low digestive bleeding, a surgical procedure can be proposed, by coelioscopy better than laparotomy, to look for Meckel's diverticulum. This observation shows that this attitude, recommended in children, can be proposed also in young adults.
authors.affiliation: Service d'Hépato-Gastroentérologie, Groupe Hospitalier Pitié-Salpêtrière, Paris.
authors.forename: G
authors.initials: G
authors.lastname: Tordjman
authors.forename: B
authors.initials: B
authors.lastname: Bernard
authors.forename: J P
authors.initials: JP
authors.lastname: Chigot
authors.forename: T
authors.initials: T
authors.lastname: Poynard
authors.forename: P
authors.initials: P
authors.lastname: Opolon
mesh_terms: D000328:Adult; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence
vernacular_title: Hémorragie digestive basse récidivante de l'adulte jeune: une indication opératoire.