Chan, SC

Lo, CY

New England Journal of Medicine

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Title Images in clinical medicine. Meckel's diverticulum in action.Author(s) Chan, SC; Lo, CYCitation The New England Journal Of Medicine, 2004, v. 350 n. 8, p. e7Issued Date 2004URL http://hdl.handle.net/10722/42261Rights Creative Commons: Attribution 3.0 Hong Kong License n engl j med  350;8 www.nejm.org february  19, 2004 The  new england journal  of  medicine e 7 images in clinical medicine Meckel’s Diverticulum in Action See-Ching Chan, M.D.Chung-Yau Lo, F.R.C.S., F.A.C.S. University of Hong Kong Medical CenterHong Kong, China 26-year-old man presented with massive gastrointestinal hemorrhage and hypovolemic shock. His hemoglobin level dropped by 4 gper deciliter over a six-hour period. Emergency upper endoscopy to the sec-ond part of duodenum showed no abnormalities. Digital-subtraction visceral angiog-raphy was performed. Superior mesenteric arteriography revealed bleeding from abranch of the ileocolic artery (Panel A, arrow) that supplied the distal ileum. Duringlaparotomy, the bleeding was localized to a 4-cm-long Meckel’s diverticulum, located55 cm proximal to the ileocecal junction. A Meckel’s diverticulectomy was performed.A vessel corresponding to the tip of the feeding vessel in Panel A was visible on the mu-cosal surface of the diverticulum on the cut specimen (Panel B, arrow). The patient’spostoperative recovery was unremarkable. Copyright © 2004 Massachusetts Medical Society.aA BCopyright © 2004 Massachusetts Medical Society. All rights reserved. Downloaded from www.nejm.org at UNIVERSITY OF HONG KONG on November 7, 2006 . 

Meckel's diverticulum in action

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Images in clinical medicine. Meckel's diverticulum in action.

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