A unique case of gastrointestinal bleeding with splenomegaly
We present the case of a 61-year-old man with a 30-year history of iron-deficiency anemia and recurrent gastrointestinal bleeding, accompanied by splenomegaly and hypersplenism. Despite multiple endoscopy and imaging examinations, the source of bleeding remained elusive. The patient ultimately under...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-06-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X251351454 |
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| _version_ | 1849434376961523712 |
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| author | Can Gan Shihang Tang |
| author_facet | Can Gan Shihang Tang |
| author_sort | Can Gan |
| collection | DOAJ |
| description | We present the case of a 61-year-old man with a 30-year history of iron-deficiency anemia and recurrent gastrointestinal bleeding, accompanied by splenomegaly and hypersplenism. Despite multiple endoscopy and imaging examinations, the source of bleeding remained elusive. The patient ultimately underwent exploratory laparotomy with splenectomy, which revealed a Meckel’s diverticulum with stale hemorrhage, along with congestive changes in the spleen. Following surgery, the patient experienced a complete resolution of symptoms with normalization of hematological parameters. This case highlights Meckel’s diverticulum as a rare cause of obscure gastrointestinal bleeding, with the unique presentation of splenomegaly due to extramedullary hematopoiesis. |
| format | Article |
| id | doaj-art-fce4ebd71b4e4be68bf6d03f492cb920 |
| institution | Kabale University |
| issn | 2050-313X |
| language | English |
| publishDate | 2025-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj-art-fce4ebd71b4e4be68bf6d03f492cb9202025-08-20T03:26:42ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2025-06-011310.1177/2050313X251351454A unique case of gastrointestinal bleeding with splenomegalyCan Gan0Shihang Tang1Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Gastroenterology, Chongqing University Cancer Hospital, ChinaWe present the case of a 61-year-old man with a 30-year history of iron-deficiency anemia and recurrent gastrointestinal bleeding, accompanied by splenomegaly and hypersplenism. Despite multiple endoscopy and imaging examinations, the source of bleeding remained elusive. The patient ultimately underwent exploratory laparotomy with splenectomy, which revealed a Meckel’s diverticulum with stale hemorrhage, along with congestive changes in the spleen. Following surgery, the patient experienced a complete resolution of symptoms with normalization of hematological parameters. This case highlights Meckel’s diverticulum as a rare cause of obscure gastrointestinal bleeding, with the unique presentation of splenomegaly due to extramedullary hematopoiesis.https://doi.org/10.1177/2050313X251351454 |
| spellingShingle | Can Gan Shihang Tang A unique case of gastrointestinal bleeding with splenomegaly SAGE Open Medical Case Reports |
| title | A unique case of gastrointestinal bleeding with splenomegaly |
| title_full | A unique case of gastrointestinal bleeding with splenomegaly |
| title_fullStr | A unique case of gastrointestinal bleeding with splenomegaly |
| title_full_unstemmed | A unique case of gastrointestinal bleeding with splenomegaly |
| title_short | A unique case of gastrointestinal bleeding with splenomegaly |
| title_sort | unique case of gastrointestinal bleeding with splenomegaly |
| url | https://doi.org/10.1177/2050313X251351454 |
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