CT diagnosis of a post-embolization ischemic diverticulitis of Meckel.
A 23-year-old man presented with hypovolemic shock due to a lower gastrointestinal bleeding. Radiological and endoscopic investigation did not reveal the bleeding site. Emergency visceral angiography showed contrast extravasation at a right-sided branch of the superior mesenteric artery (SMA). Embolization of the bleeding point was performed, resulting in bleeding cessation. One week later, the patient presented with a new episode of moderate anal blood loss associated with diffuse abdominal pain. Computed tomography (CT) revealed an ischemic small bowel diverticulum that was treated by a laparoscopically-assisted segmental small bowel resection. Intraoperative and pathologic analysis confirmed a post-embolization ischemic diverticulitis of Meckel.
Department of Radiology, UZ Leuven/Department of Imaging & Pathology, KU Leuven, Belgium.
Tom
T
De Beule
Department of Radiology, UZ Leuven/Department of Imaging & Pathology, KU Leuven, Belgium.
Katya
K
Op de Beeck
Department of Histopathology, UZ Leuven, Belgium.
Gert
G
De Hertogh
Department of Abdominal Surgery, UZ Leuven, Belgium.
Gregory
G
Sergeant
Department of Radiology, UZ Leuven/Department of Imaging & Pathology, KU Leuven, Belgium.
Geert
G
Maleux
Abdomen/gastro-intestinal; angiography; computed tomography (CT); embolization; hemorrhage; small bowel