A CASE OF MASSIVE BLEEDING FROM MECKEL'S DIVERPTICULUM INDUCED BY STEROID THERAPY FOR BULLOUS PEMPHIGOID

Abstract

A 67-year-old man was diagnosed with bullous pemphigoid, and after treatment with steroid semipulse therapy he developed massive melena and went into shock.
Emergency angiography revealed a vitelline artery and extravasation, and we diagnosed massive bleeding from Meckel's diverticulum and preformed coil embolization immediately.
After the coil embolization, we performed plasmapheresis because of deterioration of the bullous phemphigoid. The skin eruption resolved after plasmapheresis, and it became possible to reduce the steroid dose. We then performed safe partial resection of the ileum.