Published online Nov 16, 2015. doi: 10.12998/wjcc.v3.i11.970
Peer-review started: May 20, 2015
First decision: July 29, 2015
Revised: August 16, 2015
Accepted: September 16, 2015
Article in press: September 18, 2015
Published online: November 16, 2015
Meckel diverticulum is an embryonic remnant of the Gastrointestinal duct which causes symptoms < 5% in the 2% population. Painless bleeding and abdominal pain are the most often reported symptoms. Dieulafoy lesion/dieulafoy-like lesion often cause upper gastrointestinal (GI) tract bleeding, but massive lower gastrointestinal bleeding is rare. We reported a 19-year-old male presented massive lower GI tract bleeding caused by Meckel diverticulum synchronous dieulafoy-like lesion.
Core tip: Dieulafoy-like lesion often causes upper gastrointestinal (GI) tract bleeding, and meckel diverticulum is another common cause of GI tract bleeding. The two of them happened at the same person is rare. We observed a 19-year-old man complained of upper stomachache was admitted to hospital. He underwent left hemi-colectomy on day 5 after admitted. Pathology confirmed the diagnosis of dieulafoy-like lension of descending colon. The bleeding ceased for 2 d. But another attack came on day 3 after surgery. He underwent a second laparotomy which united endoscopy, a 2 cm × 1.5 cm meckel diverticulum in terminal ileum was detected. Resection was performed. Pathology revealed meckel diverticulum. He was fully recovered with no sign of bleeding in the next year’s following up.