A CASE OF MECKEL'S DIVERTICULUM WITH MASSIVE ANAL BLEEDING

• MORIOKA Daisuke

  Departments of Surgery and Pathology, National Yokohama Hospital

• WAKASUGI Junichi

  Departments of Surgery and Pathology, National Yokohama Hospital

• YOSHIDA Kenichi

  Departments of Surgery and Pathology, National Yokohama Hospital

• KANAYA Hiroshi

  Departments of Surgery and Pathology, National Yokohama Hospital

• DOI Takako

  Departments of Surgery and Pathology, National Yokohama Hospital

• OTAKI Shuji

  Departments of Surgery and Pathology, National Yokohama Hospital

• NISHIYAMA Kiyoshi

  Departments of Surgery and Pathology, National Yokohama Hospital

Bibliographic Information

Other Title

• 大量下血を伴った成人Meckel憩室症の1例

Abstract

A 31-year-old man was emergently admitted to the department of gastroenterological medicine in our hospital because of abrupt massive anal bleeding. Upper and lower gastrointestinal endoscopy and angiography faild to identify the bleeding site. A total of about 7500ml of anal bleeding was noted during these three days, but hemostasis was achieved conservatively. Intestinal fluoroscopy revealed a true diverticulum with peristalsis in the contralateral mesentery at 40cm from the terminal ileum. It was diagnosed as Meckel's diverticulum, but Tc scintigraphy did not visualize the diverticulum. Angiography confirmed abnormal vessels distributed in the diverticulum. It was determined that massive anal bleeding was originated from the Meckel's diverticulum. On November 15, 1996, a partial resection of the ileum including the diverticulum was performed under laparoscopy. Histological examination of the resected material revealed regeneration of epithelia at the top of the diverticulum which appeared to be a repairing process of acute mucosal lesion.<br> Differing from usual bleeding from Meckel's diverticulum, massive bleeding in this case was thought to occur from the acute mucosal lesion of the diverticulum.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 59 (4), 1010-1014, 1998

  Japan Surgical Association

Keywords

• Meckel憩室
• 下血

Details

• CRID: 1390282679825513600
• NII Article ID: 130003600905
• NII Article ID: 10008435786
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.59.1010
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/59/4/59_4_1010/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1998218289
• Data Source:
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  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed