Inverted Meckel's diverticulum with ectopic pancreatic tissue as a source of severe gastrointestinal bleeding.
BACKGROUND
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. Authors present a 67-year-old woman treated for iron deficiency anemia for the past 5 years. Suddenly, her disease was presented with painless severe gastrointestinal bleeding (fresh melena). Inverted Meckel's diverticulum with ectopic pancreatic tissue as a source of severe gastrointestinal bleeding was diagnosed by intraoperative enteroscopy.


CONCLUSIONS
A combination of inversion of Meckel's diverticulum with ectopic pancreatic tissue is extremely rare, particularly in elderly patient. Capsule endoscopy, double balloon enteroscopy, and ultimately intraoperative enteroscopy may be helpful in timely diagnosis.
Kopácová
Marcela
M
Second Department of Internal Medicine, Faculty of Medicine at Hradec Králové, Charles University in Praha, University Teaching Hospital, Hradec Králové, Czech Republic. kopacmar@fnhk.cz
Vykouril
Ladislav
L
Vacek
Zdenek
Z
Tycová
Vera
V
Bártová
Jolana
J
Rejchrt
Stanislav
S
Bures
Jan
J
D000368:Aged; D001707:Biopsy, Needle; D001803:Blood Transfusion; D053704:Capsule Endoscopy / Q000379:methods*; D002828:Choristoma / Q000150:complications* / Q000473:pathology; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000601:surgery; D007150:Immunohistochemistry; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis; D010179:Pancreas; D035583:Rare Diseases; D018570:Risk Assessment; D016896:Treatment Outcome