Meckel’s diverticulum: a cause of recurrent gastrointestinal bleeding

• Published in: Innovacionnaâ medicina Kubani (Online) no. 2; pp. 100 - 102
• Main Authors: V. V. Polovinkin, S. V. Khmelik, Liu Zheng
• Format: Journal Article
• Language: Russian
• Published: Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 01.05.2023
• Subjects: meckel’s diverticulum; obscure gastrointestinal bleeding
• ISSN: 2541-9897
• DOI: 10.35401/2541-9897-2023-26-2-100-102

Background: Obscure gastrointestinal bleedings accounting for 5%-30% of all gastrointestinal bleedings continue to be a challenge and usually originate from the small bowel.Clinical case: We present a case of a female patient hospitalized with signs of gastrointestinal bleeding three times within 3 months. We could not identify the source of bleeding using standard methods, such as abdominal computed tomography and ultrasonography, esophagogastroduodenoscopy, and colonoscopy. We detected a Meckel’s diverticulum during a diagnostic laparoscopy and performed wedge resection of the small bowel. Histopathology results revealed an acute progressive ulcer in the wall of the small bowel diverticulum.Conclusions: Diagnostic laparoscopy is one of the available minimally invasive procedures, which in some cases can successfully identify the source of small bowel bleeding.