Occult bleeding from a false-in-true non-Meckelian ileal diverticulum.
BMJ Case Rep
; 17(1)2024 Jan 05.
Article
de En
| MEDLINE
| ID: mdl-38182170
ABSTRACT
Ileal diverticula can be congenital or acquired and are rare even among the already rare entity of small bowel diverticula. What has never been reported, as far as we know, is false diverticula arising within the true non-Meckelian diverticulum with mesenteric erosion causing an occult gastrointestinal bleed. We present a patient with occult gastrointestinal bleeding from a false-in-true ileal diverticulum. Multiple investigations were required to localise the bleeding site after which the patient was taken to the operating room for a laparoscopic ileocaecectomy with complete resolution of symptoms. Preoperative localisation of the bleeding site may be difficult but is critically important in occult gastrointestinal bleeding. Procedure choice for a bleeding ileal diverticulum is dictated by the distance from the ileocaecal valve and the etiopathology of the bleed.
Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Diverticule
/
Laparoscopie
/
Valvule iléocaecale
/
Diverticule de Meckel
Type d'étude:
Diagnostic_studies
/
Etiology_studies
Limites:
Humans
Langue:
En
Journal:
BMJ Case Rep
Année:
2024
Type de document:
Article
Pays d'affiliation:
Thaïlande