Plauth M, Jenss H, Grund K E, Kaiserling E, Skalej M, Starlinger M
Abteilung Innere Medizin I, Universität, Tübingen.
Dtsch Med Wochenschr. 1990 Jul 27;115(30):1145-8. doi: 10.1055/s-2008-1065134.
A hitherto perfectly healthy 28-year-old man suddenly passed stools containing bright red blood, and haemoglobin concentration fell at first to 10.1 g/dl. No bleeding source was found on gastroscopy and coloscopy. Nor was the source found by enteroclysis during a bleeding-free interval. Emergency laparotomy was performed after a recurrence of massive bleeding and revealed, 60 cm oral of the ileocaecal (Bauhin's) valve, a Meckel's diverticulum with ulcerated heterotopic gastric mucosa, 5 x 3 x 2 cm in size, and this was resected. 17 red blood cell concentrates had to be infused pre- and postoperatively, but there were no further complications.
一名此前完全健康的28岁男子突然排出含有鲜红色血液的粪便，血红蛋白浓度最初降至10.1 g/dl。胃镜检查和结肠镜检查未发现出血源。在无出血期间进行小肠灌肠造影也未发现出血源。再次发生大量出血后进行了急诊剖腹手术，结果发现在回盲（鲍欣氏）瓣口侧60 cm处有一个梅克尔憩室，其异位胃黏膜发生溃疡，大小为5×3×2 cm，遂将其切除。术前和术后共输注了17单位红细胞浓缩液，但未出现进一步并发症。
