Korean J Gastrointest Endosc > Volume 20(2); 2000 > Article

Korean Journal of Gastrointestinal Endoscopy 2000;20(2): 132-136.

이소성 점막을 동반하지 않은 Meckel 게실 환자에서 발현된 대량 하부 장관 출혈 1예 ( A Case of Massive Hematochezia from a Meckel's Diverticulum without Ectopic Mucosa )

박해규(Hae Kyu Park),소순찬(Soon Chan So),곽경근(Kyeong Kun Kwack),김종형(Jong Hyung Kim),신현민(Hyun Min Shin),이덕기(Duc Ky Rhee),김석은(Seok Eun Kim),박석준(Suk Joon Park)

Abstract

Meckel's diverticulum, which is a persistence of a remnant of the omphalomesenteric duct, is the most common developmental anomaly of the gastrointestinal tract, with an incidence of about 2% in the general population. Typically, Meckel's diverticulum is a true diverticulum because it arises from the antimesenteric border of the small bowel and all layers of the intestinal wall are present. Complications of Meckel's diverticulum include bleeding, perforation, diverticulitis, intestinal obstruction, stones, intussusception, hernia, and neoplasm. Bleeding in particular is a common complication and has always been caused by an ulceration of the ileal mucosa adjacent to the acid-producing ectopic gastric mucosa in a Meckel's diverticulum. A case was recently experienced involving massive hematochezia from Meckel's diverticulum without ectopic gastric mucosa in a 27 year-old woman, and in herein reported. (Korean J Gastrointest Endosc 2000;20:132-136)

Key Words: Meckel's diverticulum, Ectopic mucosa, Hematochezia.