Document Detail


Bleeding Meckel diverticulum associated with a vitellointestinal artery aneurysm found on preoperative angiography: report of a case.
MedLine Citation:
PMID:  17123144     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
An 18-year-old man was admitted to a local hospital with abdominal pain and bloody stool. Upper and lower gastrointestinal endoscopy failed to show any bleeding sites; however, an angiography of the superior mesenteric artery done on hospital day 4 showed an abnormal artery with an aneurysm, branching from the ileal artery. This artery was thought to be the vitellointestinal artery, a feeding artery of Meckel diverticulum. After embolization, he was transferred to our hospital, where we performed emergency laparotomy with partial resection of the ileum, including a bleeding Meckel diverticulum. Pathological examination revealed ectopic gastric mucosa and peptic ulceration, which we assumed was the origin of the bleeding. The patient had an uneventful postoperative course. Visceral artery aneurysms are rare but important vascular lesions because of their potential for fatal rupture. Although a minimally invasive procedure can be performed for a vitellointestinal artery aneurysm in patients with asymptomatic Meckel diverticulum, we treated our patient surgically because he presented with hemorrhagic shock and had been unresponsive to an H(2)-receptor antagonist.
Authors:
Takehiro Sakai; Koichi Sato; Yasuhiro Sudo; Masashi Koyanagi; Yoshie Hasegawa; Noriko Hiraga; Manabu Sawaya; Hiroshi Tohno; Masanori Tanaka
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-12-25
Journal Detail:
Title:  Surgery today     Volume:  36     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2006  
Date Detail:
Created Date:  2006-11-23     Completed Date:  2007-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1118-21     Citation Subset:  IM    
Affiliation:
Department of Surgery, Hirosaki City Hospital, 3-8-1 O-machi, Hirosaki, Aomori 036-8004, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aneurysm / complications*,  radiography,  surgery
Angiography
Diagnosis, Differential
Follow-Up Studies
Gastrointestinal Hemorrhage / etiology*,  radiography,  surgery
Humans
Ileum / blood supply*
Laparotomy
Male
Meckel Diverticulum / complications*,  radiography,  surgery
Mesenteric Artery, Superior*
Preoperative Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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