# Occult Gastrointestinal Hemorrhage From a Meckel’s Adenocarcinoma: A Diagnostic Dilemma

## TL;DR

An elderly man with unexplained gastrointestinal bleeding was diagnosed with a rare tumor in his Meckel's diverticulum using advanced imaging and successfully treated with embolization and surgery.

## Contribution

Highlights the importance of considering Meckel’s diverticulum as a source of obscure bleeding and using non-conventional diagnostic methods in elderly patients.

## Key findings

- Arteriography identified Meckel’s diverticulum as the source of bleeding after standard methods failed.
- Embolization followed by laparoscopic resection successfully managed the case.
- The case emphasizes the role of interventional radiologists and surgeons in treating Meckel’s diverticulum complications.

## Abstract

Gastrointestinal bleeding from Meckel's diverticulum can be challenging to diagnose. We present a case of a 78-year-old man with painless hematochezia. Despite undergoing standard investigations, the source of bleeding remained elusive until arteriography localized bleeding from Meckel's diverticulum. Prompt management involved embolization followed by laparoscopic resection. This case underscores the need to consider Meckel’s diverticulum as a source of obscure gastrointestinal bleeding even in the elderly, as well as the need to use non-conventional diagnostic approaches when standard methods fail. The successful management of the case through embolization and laparoscopic resection highlights the crucial role interventional radiologists and surgeons play in the management of Meckel’s diverticulum-related complications.