Kanagalingam Gowthami, Vyas Vrinda, Sharma Anuj, Manocha Divey
Department of Internal Medicine, State University of New York Upstate Medical University, Syracuse, New York.
Department of Gastroenterology, State University of New York Upstate Medical University, Syracuse, New York.
Proc (Bayl Univ Med Cent). 2021 Jan 28;34(3):367-368. doi: 10.1080/08998280.2020.1871163.
Meckel's diverticulum is a true diverticulum caused by the incomplete obliteration of the vitelline duct during gestation. It is the most common congenital malformation of the gastrointestinal tract. Meckel's diverticulum is a rare presentation in adults, especially because symptomatic patients present in early childhood. We present a 57-year-old woman with symptomatic iron deficiency after recent nonsteroidal anti-inflammatory use. After normal upper and lower endoscopy, a capsule endoscopy showed an oozing polyp in the distal ileum. The small bowel was surgically resected, and histopathology confirmed Meckel's diverticulum as the cause of her small bowel bleeding. Rare causes such as Meckel's diverticulum should be kept in mind in the differential diagnosis for patients with suspected small bowel bleeding.
梅克尔憩室是一种真性憩室，由妊娠期间卵黄管未完全闭塞引起。它是胃肠道最常见的先天性畸形。梅克尔憩室在成人中很少见，尤其是因为有症状的患者多在儿童早期出现。我们报告一名57岁女性，近期使用非甾体抗炎药后出现缺铁性贫血症状。上、下消化道内镜检查均正常，胶囊内镜显示回肠末端有一个渗血的息肉。小肠经手术切除，组织病理学证实梅克尔憩室是其小肠出血的原因。对于疑似小肠出血的患者，在鉴别诊断时应考虑到梅克尔憩室等罕见病因。
