CT diagnosis of a post-embolization ischemic diverticulitis of Meckel

Acta Radiol Short Rep. 2014 Oct 7;3(9):2047981614531954. doi: 10.1177/2047981614531954. eCollection 2014 Oct.

Abstract

A 23-year-old man presented with hypovolemic shock due to a lower gastrointestinal bleeding. Radiological and endoscopic investigation did not reveal the bleeding site. Emergency visceral angiography showed contrast extravasation at a right-sided branch of the superior mesenteric artery (SMA). Embolization of the bleeding point was performed, resulting in bleeding cessation. One week later, the patient presented with a new episode of moderate anal blood loss associated with diffuse abdominal pain. Computed tomography (CT) revealed an ischemic small bowel diverticulum that was treated by a laparoscopically-assisted segmental small bowel resection. Intraoperative and pathologic analysis confirmed a post-embolization ischemic diverticulitis of Meckel.

Keywords: Abdomen/gastro-intestinal; angiography; computed tomography (CT); embolization; hemorrhage; small bowel.

Publication types

  • Case Reports