A Case of a Meckel's Diverticular Bleeding Diagnosed by the Use of Double Balloon Enteroscopy.
- Author:
Woo Young HEO
1
;
Jae Myung CHA
;
Sung Won JUNG
;
Hyun Phil SHIN
;
Jae Won CHOE
;
Kang Ro JOO
;
Joung Il LEE
;
Jong Beom PARK
Author Information
1. Department of Internal Medicine, Kyunghee University College of Medicine, Seoul, Korea. dramc@hanmail.net
- Publication Type:Case Report
- Keywords:
Double balloon enteroscopy;
Meckel's diverticulum;
Bleeding
- MeSH:
Double-Balloon Enteroscopy;
Hemorrhage;
Hemostasis, Endoscopic;
Humans;
Ileum;
Incidence;
Inflammation;
Intestinal Obstruction;
Meckel Diverticulum;
Melena;
Middle Aged
- From:Korean Journal of Gastrointestinal Endoscopy
2008;37(5):364-368
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Meckel's diverticulum is one of the most common congenital anomalies, and its incidence is about 2% in the population. Most of the cases are asymptomatic and only 5% of cases are symptomatic with complications, including bleeding, intestinal obstruction, inflammation and perforation. Bleeding from a Meckel's diverticulum is usually painless and is sometimes massive. Recently, the use of double balloon enteroscopy has allowed improved access in patients with obscure gastrointestinal bleeding; however, a case of bleeding from a Meckel's diverticulum treated with double balloon enteroscopy hs rarely been reported. Double balloon enteroscopy can diagnose a Meckel's diverticulum without difficulty as the lesion is usually located at the distal ileum, and the method provides endoscopic hemostasis for the bleeding. Therefore, double balloon enteroscopy might be a useful diagnostic and therapeutic modality for bleeding from a Meckel's diverticulum. We experienced a case of bleeding from a Meckel's diverticulum that was detected and was treated by the use of double-balloon enteroscopy in a 47-year-old man with recurrent episodes of melena.
