Symptomatic Meckel's Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult.

Authors

Abishek Hariharan, Internal Medicine, Reading Hospital-Tower Health, West Reading, PA, USAFollow
Shefali Amin, Internal Medicine, Reading Hospital-Tower Health, West Reading, PA, USAFollow
Salina Munankami
Manish Shrestha, Internal Medicine, Reading Hospital-Tower Health, West Reading, PA, USAFollow
John Altomare, Gastroenterology, Tower Health Medical Group, West Reading, USAFollow

Document Type

Article

Publication Date

7-11-2023

Abstract

A 51-year-old male presented to the hospital with recurrent gastrointestinal bleeding. Prior work up with an esophagogastroduodenoscopy (EGD), colonoscopy, and video capsule endoscopy failed to reveal a bleeding source. Given a history of a terminal ileum diverticulum noted on previous colonoscopy and persistence of hematochezia, a Meckel's scan was performed, which revealed abnormal uptake suspicious for a Meckel's diverticulum containing ectopic gastric mucosa. After surgical resection, pathology confirmed a Meckel's diverticulum with gastric heterotopia. This case highlights the importance of considering Meckel's diverticulum for instances of recurrent gastrointestinal bleeding, especially in patients who are still symptomatic despite an extensive workup. Moreover, it is important to note that a Meckel's diverticulum can be missed on video capsule endoscopy.

Publication Title

Cureus

Volume

15

Issue

7

First Page

41723

Last Page

41723

Comments

eCollection 2023 Jul

Recommended Citation

Hariharan, A., Amin, S., Munankami, S., Shrestha, M., & Altomare, J. (2023). Symptomatic Meckel's Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult.. Cureus, 15 (7), 41723-41723. https://doi.org/https://doi.org/10.7759/cureus.41723