Clinical Image
Meckel's Diverticulum Diagnosed by Capsule Endoscopy
Yoshitaka Kitayama, Toshihiko Tomita*, Tomoaki Kono, Katsuyuki Tozawa, Tadayuki Oshima Hirokazu Fukui, Jiro Watari and Hiroto Miwa
Department of Internal Medicine, Hyogo College of Medicine, Japan
*Corresponding author: Toshihiko Tomita, Department of Internal Medicine, Nishinomiya, Hyogo, Japan
Published: 30 Apr, 2018
Cite this article as: Kitayama Y, Tomita T, Kono T,
Tozawa K, Watari J, Miwa H. Meckel's
Diverticulum Diagnosed by Capsule
Endoscopy. Clin Surg. 2018; 3: 1965.
Keywords
Meckel diverticulum; Gastrointestinal bleeding; Capsule endoscopy; Double-balloon enteroscopy
Clinical Image
A 16-year-old man was admitted to a local hospital due to acute melena and hematochezia. He was undergone Esophagogastroduodenoscopy (EGD), Colonoscopy (CS) and Contrast Computed Tomography (CE-CT). Nevertheless they could not detect cause of gastrointestinal bleeding. He repeated melena and hematochezia during admission and was transferred total 6 units of packed erythrocyte. He was transferred to our hospital for further examination. Firstly, we examined Capsule Endoscopy (CE) for obscure gastrointestinal bleeding. The small bowel was investigated with a third generation Pillcam SB 3. It revealed the orfice of Meckel’s diverticulum in the ileum (Figure1). In addition, we performed Double-Balloon Enteroscopy (DBE). Meckel’s diverticulum was detected with erosive lesion in the ileum within 100 cm of the ileocecal valve (Figure 2). Additionally, small bowel series showing the lumen of Meckel’s diverticulum. (Figure 3). The patient is going to be performed diverticulectomy.
Figure 1
Figure 1
Endoscopic image of Meckel’s diverticulum detected by capsule endoscopy.
Figure 2
Figure 2
Endoscopic image of Meckel’s diverticulumdetected by double balloon endoscopy with erosive lesion
in the ileum.
Figure 3
Figure 3
Small bowel series showing the lumen of Meckel’s diverticulum.