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- gastrointestinal bleeding
- lower gastrointestinal bleeding
- Meckel diverticulum
- paediatric surgery
- small bowel disease
A 16-year-old boy presented to our emergency department with hypovolaemic shock due to gastrointestinal bleeding accompanied by massive stool containing fresh blood. Although the patient had no underlying systemic diseases, he had a 3 day history of tarry stool. Oesophagogastroduodenoscopy, colonoscopy and red blood cell nuclear scans were performed at another hospital but no definite focal lesions were identified. He was transferred to our hospital due to the occurrence of acute and massive bloody stool with syncope. Physical examination revealed a soft abdomen without focal tenderness. His blood pressure was 62/43 mm Hg, …
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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