title: An unusual manifestation of Meckel's diverticulum: bleeding and perforation--a case report.
abstract: Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract. Bleeding of the diverticulum from a peptic ulcer due to ectopic gastric mucosa makes up 25% of all complications in the disease. We report a case of a 20 year old male with chronic anemia, severe hematochezia and perforation due to Meckel's diverticulum. Segmental small bowel resection was performed. Difficulty of preoperative diagnosis is discussed, indication for incidental diverticulectomy is established and the literature reviewed.
authors.affiliation: Chlrurgische Klinik, Schwerpunktspital Uster.
authors.forename: J M
authors.initials: JM
authors.lastname: Heinicke
authors.forename: R
authors.initials: R
authors.lastname: Tedaldi
authors.forename: C
authors.initials: C
authors.lastname: Muller
mesh_terms: D000328:Adult; D002828:Choristoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005753:Gastric Mucosa; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007082:Ileum / Q000473:pathology / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D008297:Male; D008467:Meckel Diverticulum / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D010439:Peptic Ulcer Perforation / Q000175:diagnosis / Q000473:pathology / Q000601:surgery