A 14 year old boy, presented with sudden episode of bleeding per anus. Both OGDS and colonoscopy was negative and the bleeding persisted. He was then referred to us for an angiogram.
Any idea?
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Well, with that in hand, we took the patient into OT and proceeded to perform a laparotomy. The lesion was identified and a segmental resection of the involved lesion was done.
Any ideas?
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Bleeding Meckel’s Diverticulum
The culprit – a bleeding point seen inside the Meckels above.
Meckel’s Diverticulum
A Meckel’s diverticulum, a true congenital diverticulum, is a small bulge in the small intestine present at birth. It is a vestigial remnant of the omphalomesenteric duct (also called the vitelline duct), and is the most frequent malformation of the gastrointestinal tract. It is present in approximately 2% of the population, with males more frequently experiencing symptoms.
It was first described by Fabricius Hildanus in the sixteenth century and later named after Johann Friedrich Meckel, who described the embryological origin of this type of diverticulum in 1809.
A memory aid is the rule of 2’s: 2% (of the population) – 2 feet (from the ileocecal valve) – 2 inches (in length) - 2% are symptomatic, there are 2 types of common ectopic tissue (gastric and pancreatic), the most common age at clinical presentation is 2, and males are 2 times as likely to be affected.
A 14 year old boy, presented with sudden episode of bleeding per anus. Both OGDS and colonoscopy was negative and the bleeding persisted. He was then referred to us for an angiogram.
Any idea?
..
..
..
..
..
..
..
..
..
Well, with that in hand, we took the patient into OT and proceeded to perform a laparotomy. The lesion was identified and a segmental resection of the involved lesion was done.
Any ideas?
..
..
..
Bleeding Meckel’s Diverticulum
The culprit – a bleeding point seen inside the Meckels above.
Meckel’s Diverticulum
A Meckel’s diverticulum, a true congenital diverticulum, is a small bulge in the small intestine present at birth. It is a vestigial remnant of the omphalomesenteric duct (also called the vitelline duct), and is the most frequent malformation of the gastrointestinal tract. It is present in approximately 2% of the population, with males more frequently experiencing symptoms.
It was first described by Fabricius Hildanus in the sixteenth century and later named after Johann Friedrich Meckel, who described the embryological origin of this type of diverticulum in 1809.
A memory aid is the rule of 2’s: 2% (of the population) – 2 feet (from the ileocecal valve) – 2 inches (in length) - 2% are symptomatic, there are 2 types of common ectopic tissue (gastric and pancreatic), the most common age at clinical presentation is 2, and males are 2 times as likely to be affected.
Ref: Wikipedia