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Meckel's Diverticulum Diagnosed on Double-balloon Enteroscopy


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Title: Meckel's Diverticulum Diagnosed on Double-balloon Enteroscopy
Authors: Matsushima, Kayoko / Isomoto, Hajime / Sawai, Terumitsu / Yajima, Hiroyuki / Yamaguchi, Naoyuki / Ohnita, Ken / Shikuwa, Saburo / Mizuta, Yohei / Hayashi, Tomayoshi / Kohno, Shigeru
Issue Date: Sep-2008
Citation: Acta medica Nagasakiensia, 53(2), pp.47-49 ; 2007
Abstract: Background : Meckel's diverticulum is a congenital anomaly of the gastrointestinal tract and is situated 40-130 cm from the ileocecal junction. Thus, it is difficult to detect endoscopically prior to surgery. However, double-balloon enteroscopy (DBE) enables the entire small intestine to be examined.Case Report : A 29-year-old man presented with a 4-day history of melena without abdominal pain. Upper gastrointestinal endoscopy, colonoscopy, abdominal contrast-enhanced computed tomography, radiolabeled red cell scintigraphy, and technetium(Tc) 99m pertechnetate scintigraphy did not detect the source of bleeding. However, on retrograde DBE, a Meckel's diverticulum, which had a small ulcer, was found in the distal part of the ileum. The diverticulum was resected laparoscopically. The patient's postoperative course was uneventful; the patient continues to be in complete remission.Conclusions : This is the case of the Meckel's diverticulum that was preoperatively diagnosed using DBE.
Keywords: Meckel's diverticulum / Double-balloon enteroscopy / Retrograde / Obscure gastrointestinal bleeding
URI: http://hdl.handle.net/10069/20796
ISSN: 00016055
Relational Links: http://joi.jlc.jst.go.jp/JST.JSTAGE/amn/53.47
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 53, No. 2

Citable URI : http://hdl.handle.net/10069/20796

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