Bleeding Meckel’s diverticulum
================================

* David P. Girvan

A 4-year-old child presented with dark red rectal bleeding mixed with some clots. The bleeding stopped spontaneously. The hemoglobin level was 95 g/L. Meckel’s scanning (Fig. 1) was positive for ectopic gastric mucosa in the right lower quadrant. At laparotomy, a Meckel’s diverticulum was evident (Fig. 2) and was resected. The gross specimen (Fig. 3) showed a well-demarcated ulcer at the junction of the diverticulum and ileum. The tip of the diverticulum contained gastric mucosa (Fig. 4).

![FIG. 1](http://canjsurg.ca/https://www.canjsurg.ca/content/cjs/39/1/8/F1.medium.gif)

[FIG. 1](http://canjsurg.ca/content/39/1/8/F1)

FIG. 1 

![FIG. 2](http://canjsurg.ca/https://www.canjsurg.ca/content/cjs/39/1/8/F2.medium.gif)

[FIG. 2](http://canjsurg.ca/content/39/1/8/F2)

FIG. 2 

![FIG. 3](http://canjsurg.ca/https://www.canjsurg.ca/content/cjs/39/1/8/F3.medium.gif)

[FIG. 3](http://canjsurg.ca/content/39/1/8/F3)

FIG. 3 

![FIG. 4](http://canjsurg.ca/https://www.canjsurg.ca/content/cjs/39/1/8/F4.medium.gif)

[FIG. 4](http://canjsurg.ca/content/39/1/8/F4)

FIG. 4 

## Footnotes

*   Managers: David P. Girvan, MD, FRCSC and Nis Schmidt, MD, FRCSC

*   Submissions to “Surgical Images” should be sent to Dr. David P. Girvan, Victoria Hospital Corporation, PO Box 5375, Station B, London ON N6A 5A5 or to Dr. Nis Schmidt, Department of Surgery, St. Paul’s Hospital, 1081 Burrard St., Vancouver, BC V6Z 1Y6 with a copy of the submitting letter to Dr. Jonathan L. Meakins, Rm. S10.34, Royal Victoria Hospital, 687 Pine Ave. W, Montreal QC H3A 1A1.