A case of bleeding from meckel's diverticulum diagnosed by intra-operative endoscopy

Abstract

We report a case of bleeding from Meckel's diverticulum diagnosed by intra-operative endoscopy. A 52-year-old woman was admitted to our hospital for gastrointestinal bleeding of unknown origin. Computed tomography, conventional endoscopy, angiography and double balloon enteroscopy (DBE) from the mouth showed no apparent bleeding site. DBE from the anus and enterography revealed a Meckel's diverticulum but showed no obvious bleeding site. A minimal laparotomic operation was done. No prominent bleeding site of the small intestine was discovered by intra-operative endoscopy, and the Meckel's diverticulum was resected. The Meckel's diverticulum revealed the heterotopic gastric mucosa but no active ulcerative lesion. However, the bleeding has not recurred. Finally, it was concluded that the prominent bleeding site was the Meckel's diverticulum.