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ID 13502
Eprint ID
13502
FullText URL
Thumnail 115_119.pdf 4.01 MB
Title Alternative
A case of adult Meckel's diveticul um with gastrointestinal bleeding
Author
Morimoto, Yoshinori
Iwagaki, Hiromi
Morishita, Norio
Nakagawa, Hitoshi
Matsubara, Nagahide
Isozaki, Hiroshi
Kaji, Eisuke
Okada, Hiroyuki Kaken ID researchmap
Mizuno, Motoo
Shiratori, Yasushi
Tnaka, Noriaki
Abstract
Gastrointestinal bleeding is often intermittent and its souree may be difficult to locate, resulting in delay of definitve diagnosis. Melena usually denotes bleeding not only from the upper, and lower gastrointestine but from the small int estine. Adult Meckel's diverticulum with gastrointestinal beeding is a relatively rare disease and often presents difficulty in preoperative diagnosis. A 65-year-old man was admitted to our hospital due to melena. Upper and lower gastrointestional endoscopy revealed no bleeding stie. (99m)Tc-pertechnetate scintigraphy is well known as a useful tool for preoperative delineation of Meckel's diverticulm. (99m)Tc-pertechnetate scintigraphy was performed in this patient and succesfully depicted the lesion noninvasively. In surgery, Meckel's diverticulum was found at an oral stie 90 cm from the terminalileum, and a sleevereseection was performed. Histopathologically, the diver ticulum had ectopic gastric muco sa and two 5mm ulcers on the border of the gastric mucosa.
Keywords
下血
成人
Meckel憩室
異所性胃粘膜
99mTc-pertechnetateシンチグラフィ
Note
症例報告
Published Date
2005-09-30
Publication Title
岡山医学会雑誌
Publication Title Alternative
Journal of Okayama Medical Association
Volume
volume115
Issue
issue2
Publisher
岡山医学会
Publisher Alternative
Okayama Medical Association
Start Page
119
End Page
123
ISSN
0030-1558
NCID
AN00032489
Content Type
Journal Article
Official Url
https://www.jstage.jst.go.jp/article/joma1947/115/2/115_2_119/_article/-char/ja/
Related Url
http://www.okayama-u.ac.jp/user/oma/
language
日本語
Copyright Holders
Copyright© 岡山医学会
File Version
publisher
Refereed
True
Eprints Journal Name
joma