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- W4309436707 abstract "A 76-year-old woman presented with a 1-day history of bleeding per rectum and a syncopal episode. Her past medical history was notable for 2 episodes of melena in the previous 8 months, and evaluation by upper and lower endoscopy and computed tomography angiography had not identified a source of bleeding. The physical examination revealed pallor and there was maroon-colored stool on rectal examination. Her hemoglobin level was 6.3 g/dL at presentation. After resuscitation, urgent upper endoscopy and colonoscopy up to 10 cm of ileum followed by multidetector computed tomography angiography did not reveal any bleeding source. A videocapsule endoscopy showed blood in the ileum with no bleeding source. Novel motorized spiral enteroscopy revealed a solitary diverticulum in distal ileum, suggestive of Meckel diverticulum (Figure A). Meckel scan confirmed the presence of ectopic gastric mucosa. During laparoscopy a large wide-mouthed Meckel diverticulum was identified and excision with primary anastomosis was performed (Figures B and C). Gastrointestinal bleeding as a result of Meckel diverticulum should be considered as a differential diagnosis even in elderly patients. A high index of suspicion is necessary for diagnosis. Novel motorized spiral enteroscopy may be useful in the evaluation of patients with obscure overt gastrointestinal bleeding when a small bowel source is suspected. eyJraWQiOiI4ZjUxYWNhY2IzYjhiNjNlNzFlYmIzYWFmYTU5NmZmYyIsImFsZyI6IlJTMjU2In0.eyJzdWIiOiJkY2M1OWYyYWVmMWZmZTU5ZjVmNGNlMWU1MTA5NzNlOCIsImtpZCI6IjhmNTFhY2FjYjNiOGI2M2U3MWViYjNhYWZhNTk2ZmZjIiwiZXhwIjoxNjkxMjMwNzQ5fQ.LlRdsmmvKt9NU_VeLocpBuNmQYvXDNNWLfMytuVTS4XyrasGa24vKnsx71vNb8-JajG-EtTdLx3rTi0q66LasQAJR82WPcIJIC8lNgxukLzNG1EXMmJQHW64-pM9j6ZtB1BPN-I53BCp_euSiWM3hRvvRCP6Y_LAL1islXRZLSXPfGWN1LphLopHh2PbjQq7MbSg-TZIVU5tbRKDYH2gcQ4cbhf-pU1UmV1u-2ctqKbcz0ZI8s-sBB4TbYccN0gVct-liPw8oIvZM-WpLLYg00bJ-Z94EGAAA7BJhzn3pNY9SpWtm1uYHq5i8BVjGuInG3CIIZfDRGfsr3BF9tS7Ug Download .mp4 (5.38 MB) Help with .mp4 files Supplementary Video" @default.
- W4309436707 created "2022-11-27" @default.
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- W4309436707 date "2023-06-01" @default.
- W4309436707 modified "2023-09-29" @default.
- W4309436707 title "A (Not So) Rare Cause of Obscure Gastrointestinal Bleed in Elderly" @default.
- W4309436707 doi "https://doi.org/10.1016/j.cgh.2022.11.010" @default.
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