Gan Can, Tang Shihang
Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China.
Department of Gastroenterology, Chongqing University Cancer Hospital, China.
SAGE Open Med Case Rep. 2025 Jun 27;13:2050313X251351454. doi: 10.1177/2050313X251351454. eCollection 2025.
We present the case of a 61-year-old man with a 30-year history of iron-deficiency anemia and recurrent gastrointestinal bleeding, accompanied by splenomegaly and hypersplenism. Despite multiple endoscopy and imaging examinations, the source of bleeding remained elusive. The patient ultimately underwent exploratory laparotomy with splenectomy, which revealed a Meckel's diverticulum with stale hemorrhage, along with congestive changes in the spleen. Following surgery, the patient experienced a complete resolution of symptoms with normalization of hematological parameters. This case highlights Meckel's diverticulum as a rare cause of obscure gastrointestinal bleeding, with the unique presentation of splenomegaly due to extramedullary hematopoiesis.
我们报告了一例61岁男性患者，有30年缺铁性贫血和反复胃肠道出血病史，伴有脾肿大和脾功能亢进。尽管进行了多次内镜检查和影像学检查，但出血来源仍不明确。患者最终接受了剖腹探查术并脾切除术，术中发现一个有陈旧性出血的梅克尔憩室，同时脾脏有充血性改变。术后，患者症状完全缓解，血液学参数恢复正常。该病例突出了梅克尔憩室作为隐匿性胃肠道出血的罕见原因，以及因髓外造血导致脾肿大的独特表现。
