Symptomatic Meckel\u27s Diverticulum Presenting As Recurrent Gastrointestinal Bleeding in an Adult.

Abstract

A 51-year-old male presented to the hospital with recurrent gastrointestinal bleeding. Prior work up with an esophagogastroduodenoscopy (EGD), colonoscopy, and video capsule endoscopy failed to reveal a bleeding source. Given a history of a terminal ileum diverticulum noted on previous colonoscopy and persistence of hematochezia, a Meckel\u27s scan was performed, which revealed abnormal uptake suspicious for a Meckel\u27s diverticulum containing ectopic gastric mucosa. After surgical resection, pathology confirmed a Meckel\u27s diverticulum with gastric heterotopia. This case highlights the importance of considering Meckel\u27s diverticulum for instances of recurrent gastrointestinal bleeding, especially in patients who are still symptomatic despite an extensive workup. Moreover, it is important to note that a Meckel\u27s diverticulum can be missed on video capsule endoscopy