Abstract

PUENTES, José Antonio; SALCEDO, Juan David  and  LUNA, David Ricardo. Meckel's divericulum in the senior adult patient: a primary cause of gastrointestinal bleeding. Literature review and case report. rev. colomb. cir. [online]. 2015, vol.30, n.2, pp.151-155. ISSN 2011-7582.

Meckel's diverticulum is the most common congenital malformation of the gastrointestinal tract, affecting approximately 2% of the population. It is a consequence of the inadequate closure of the viteline duct during the fifth week of gestational life. It is usually asymptomatic; however, gastrointestinal bleeding, intestinal obstruction, inflammation, perforation, neoplastic pathology or hernia incarceration (Littre's hernia) may complicate it. It has a of 4.2% rate life-long risk of complications, rate that decreases with age. The treatment for a symptomatic Meckel's diverticulum is surgical. There is controversy about the surgical management incidentally detected Meckel's diverticulum. Meckel's diverticulum is an uncommon cause of gastrointestinal bleeding, usually affecting the pediatric population. In the adult population, the most frequent complication is intestinal obstruction caused by intussusception, volvulus or intestinal stenosis. In this article, we present a clinical case of an elder patient with gastrointestinal bleeding caused by a Meckel's diverticulum.

Keywords : Meckel diverticulum; abdominal pain; gastrointestinal hemorrhage; congenital abnormalities.

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