A double Meckel's diverticulum as obscure gastrointestinal bleeding cause. Report of a case.
Meckel's diverticulum is the most common developmental anomaly of the gastrointestinal tract, affecting 1-4% of the general population. It is usually an incidental finding during laparotomy for other causes; occasional complications are bleeding, obstruction, diverticulitis and perforation. Up to 60% of Meckel's diverticula harbor heterotopic mucosa (mostly gastric or pancreatic), neoplastic degeneration occurs in 1-5% of cases. We report herein a case of obscure gastrointestinal bleeding in a 25-years-old man, due to a double Meckel's diverticulum, both located into jejunum and ileum, harboring ectopic gastric mucosa, diagnosed by a small bowel double contrast enema and managed laparoscopically with a tangential resection. To the best of our knowledge this is an unfrequent case of such a variant of Meckel's diverticulum with ectopic gastric mucosa diagnosed by double contrast enema.
7th Division of General Surgery, S. Giovanni Battista Hospital, Turin, Italy. luca_mazza@hotmail.com
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Mazza
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Garino
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Morgando
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Fronda
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Rizzetto
D000328:Adult; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography