Abstract
An obese patient, not diabetic, treated with metformin for some weeks, was referred to us with severe inferior digestive hemorrhage, diagnosed with Meckel's diverticulum. Metformin is described as a glucose‐lowering agent for treatment of type 2 diabetes mellitus and as antiobesity drug, though results achieved with this last indication are not conclusive. But metformin has fibrinolytic features by means of diminished plasminogen activator inhibitor 1 activity. Although no coagulation study was done and the Meckel's diverticulum is normally associated with bleeding, the particular intensity of the following hemorrhage may have been favored by metformin.
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Burrull‐madero, M., Del‐villar‐ruiz, A., Grau‐cerrato, S. et al. Digestive hemorrhage caused by a Meckel's diverticulum in a metformin‐treated patient: is there any connection?. Pharm World Sci 23, 120–121 (2001). https://doi.org/10.1023/A:1011218520590
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DOI: https://doi.org/10.1023/A:1011218520590