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Digestive Diseases and Sciences

, Volume 55, Issue 2, pp 242–244 | Cite as

Meckel’s Diverticulum with Gastrointestinal Bleeding: Role of Computed Tomography in Diagnosis

  • Craig A. Munroe
  • Andrew Copland
  • Reetesh Pai
  • Shai Friedland
  • George Triadafilopoulos
Stanford Multidisciplinary Seminars

Case Presentation and Evolution

A 26-year-old white male with a prior history of a benign cardiac arrhythmia and seasonal allergies presented with gastrointestinal bleeding and anemia. Two months prior to admission, he was seen in an urgent care clinic with intermittent, crampy left lower quadrant abdominal pain, worse 15–60 min after eating, and associated with alternating constipation and diarrhea. During that visit, a comprehensive metabolic panel, complete blood cell count and right upper quadrant ultrasound were normal. The patient was given the diagnosis of “vigorous gastrocolic reflex” and was successfully treated with Miralax®.

The patient remained in excellent health until 1 day prior to admission when he began to experience diffuse, infra-umbilical, intense pain estimated to be six out of ten in severity, and an urge to defecate. While on the commode, he had an episode of transient pre-syncope. Two large, liquid maroon-colored stools and continuous bowel urgency prompted him...

Keywords

Intussusception Pantoprazole Rectal Bleeding Ectopic Gastric Mucosa Comprehensive Metabolic Panel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Craig A. Munroe
    • 1
  • Andrew Copland
    • 1
  • Reetesh Pai
    • 1
  • Shai Friedland
    • 1
  • George Triadafilopoulos
    • 1
  1. 1.Division of Gastroenterology and Hepatology, Department of MedicineStanford University Medical CenterStanfordUSA

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