title: A rare case of massive gastrointestinal hemorrhage caused by Meckel's diverticulum in a 53-year-old man.
abstract: A 53-year-old man with a history of lung cancer mestastic to the brain and pelvis presented with hypotension and massive GI bleeding. He had no past history of gastrointestinal disease or bleeding. The patient was found to have an unusual focal source of bleeding--a large ulcerated Meckel's diverticulum with acute hemorrhage. Meckel's diverticulum is the etiology of most gastrointestinal bleeding episodes in the pediatric population; however, bleeding from a Meckel's diverticulum in an adult is rare and only three other cases have been reported. We present this case report and a literature review.
authors.affiliation: General Surgery Resident, West Virginia University School of Medicine, Charleston Division, USA.
authors.forename: Patrick A
authors.initials: PA
authors.lastname: Stone
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Hofeldt
authors.forename: James A
authors.initials: JA
authors.lastname: Lohan
authors.forename: James W
authors.initials: JW
authors.lastname: Kessel
authors.forename: Sarah K
authors.initials: SK
authors.lastname: Flaherty
mesh_terms: D005753:Gastric Mucosa; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007077:Ileal Diseases / Q000150:complications; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D011877:Radionuclide Imaging; D013276:Stomach Ulcer / Q000150:complications