2020 Volume 40 Issue 4 Pages 567-570
A 40–year–old woman with severe aplastic anemia who was receiving immunosuppressive therapy presented with hematochezia. Small bowel endoscopy showed a hemangioma in the jejunum, which was considered as the source of bleeding. Conservative management was initially chosen. However, rebleeding occurred and we performed operation. Laparoscopic observation of the entire small intestine revealed a large Meckel’s diverticulum. Intraoperative endoscopy showed a blood pool around Meckel’s diverticulum, which led us to consider it as the source of bleeding, and we performed partial resection of the small intestine. There were no major postoperative complications. Patients with aplastic anemia are considered as being high–risk for surgery, because of their immunosuppressed state. However, minimally invasive surgery with strict perioperative management under life–threatening conditions could prove life–saving.
