Abstract
We report a case of a bleeding Meckel diverticulum that was successfully diagnosed using intestinal barium studies and subsequently treated using laparoscopy-assisted surgery. A 17-year-old man was admitted to hospital because of melena. An upper and lower gastrointestinal endoscopy did not reveal anysite of bleeding. A selective angiography of the superior and inferior mesenteric artery did not demonstrate extravasation. Bleeding from a Meckel diverticulum was suspected and intestinal barium studies revealed an intrapelvic diverticulum with stalk. Laparoscopic surgery was performed, and a Meckel diverticulum was observed. The diverticulum was located 75cm from the ileocecal valve; a sleeve resection was performed. Ectopic gastric mucosa was observed in the resected specimen. Meckel diverticulum should be considered as a potential site of intestinal bleeding in youths; in such cases, minimally invasive surgery using a laparoscopy is useful.
