{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:10:02Z","timestamp":1756289402215,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,18]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p>Ileal diverticula can be congenital or acquired and are rare even among the already rare entity of small bowel diverticula. What has never been reported, as far as we know, is false diverticula arising within the true non-Meckelian diverticulum with mesenteric erosion causing an occult gastrointestinal bleed. We present a patient with occult gastrointestinal bleeding from a false-in-true ileal diverticulum. Multiple investigations were required to localise the bleeding site after which the patient was taken to the operating room for a laparoscopic ileocaecectomy with complete resolution of symptoms. Preoperative localisation of the bleeding site may be difficult but is critically important in occult gastrointestinal bleeding. Procedure choice for a bleeding ileal diverticulum is dictated by the distance from the ileocaecal valve and the etiopathology of the bleed.<\/jats:p>","DOI":"10.1136\/bcr-2023-257063","type":"journal-article","created":{"date-parts":[[2024,1,10]],"date-time":"2024-01-10T00:41:46Z","timestamp":1704847306000},"page":"e257063","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Occult bleeding from a false-in-true non-Meckelian ileal diverticulum"],"prefix":"10.1136","volume":"17","author":[{"given":"Voranaddha","family":"Vacharathit","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Surgery, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noppachai","family":"Siranart","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Medicine, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piyapan","family":"Prueksapanich","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Medicine, Division of Gastroenterology, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Chulalongkorn University, Bangkok, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8145-9555","authenticated-orcid":false,"given":"Sopark","family":"Manasnayakorn","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Surgery, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Chulalongkorn University, Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,1,5]]},"reference":[{"key":"2025082702440316000_17.1.e257063.1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02048119"},{"key":"2025082702440316000_17.1.e257063.2","doi-asserted-by":"crossref","first-page":"5557","DOI":"10.3748\/wjg.v11.i35.5557","article-title":"Analysis of clinical manifestations of symptomatic acquired Jejunoileal Diverticular disease","volume":"11","author":"Liu","year":"2005","journal-title":"World J Gastroenterol"},{"key":"2025082702440316000_17.1.e257063.3","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0b013e3181919261"},{"key":"2025082702440316000_17.1.e257063.4","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.ijscr.2017.10.056","article-title":"An unusual case of giant Ileal Diverticulum-A case report","volume":"41","author":"Koh","year":"2017","journal-title":"Int J Surg Case Rep"},{"key":"2025082702440316000_17.1.e257063.5","first-page":"611","article-title":"Meckel\u2019s Diverticulum: pitfalls in Scintigraphic detection in the adult","volume":"79","author":"Schwartz","year":"1984","journal-title":"Am J Gastroenterol"},{"key":"2025082702440316000_17.1.e257063.6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0162615","article-title":"Diagnosis of bleeding Meckel\u2019s Diverticulum in adults","volume":"11","author":"Hong","year":"2016","journal-title":"PLoS One"},{"key":"2025082702440316000_17.1.e257063.7","doi-asserted-by":"publisher","DOI":"10.1258\/jrsm.99.10.501"},{"key":"2025082702440316000_17.1.e257063.8","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1007\/s00383-020-04673-5","article-title":"Laparoscopic Diverticulectomy or Laparoscopic-assisted resection of symptomatic Meckel Diverticulum in children? A systematic review","volume":"36","author":"Redman","year":"2020","journal-title":"Pediatr Surg Int"},{"key":"2025082702440316000_17.1.e257063.9","doi-asserted-by":"crossref","DOI":"10.1155\/2015\/564536","article-title":"Enteroscopic diagnosis and management of small bowel Diverticular hemorrhage: A multicenter report from the Taiwan Association for the study of small intestinal diseases","volume":"2015","author":"Chen","year":"2015","journal-title":"Gastroenterol Res Pract"},{"key":"2025082702440316000_17.1.e257063.10","doi-asserted-by":"crossref","first-page":"154","DOI":"10.4253\/wjge.v3.i7.154","article-title":"Endoscopic hemostasis for hemorrhage from an Ileal Diverticulum","volume":"3","author":"Iwamuro","year":"2011","journal-title":"World J Gastrointest Endosc"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-257063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:44:13Z","timestamp":1756287853000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-257063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,5]]},"published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1136\/bcr-2023-257063"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-257063","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}