A case of intussuscepted Meckel's diverticulum

Tae Hee Lee; Jin-Oh Kim; Jae Joon Kim; Seong Sook Hong; So Young Jin; Hyun Gun Kim; Joo Young Cho; Joon Seong Lee; Yamamoto, Takayuki
October 2009
World Journal of Gastroenterology;10/28/2009, Vol. 15 Issue 40, p5109
Academic Journal
Case Study
We report colonoscopic features of an intussuscepted Meckel's diverticulum, presenting with hematochezia. A 35-year-old woman presented to the emergency room with acute onset, transient, sharp, severe epigastric pain that began 6 h earlier. Colonoscopy revealed a reddish, soft, fist-sized polypoid lesion in the terminal ileum. The lesion was misinterpreted as a hematoma by an inexperienced endoscopist. The patient began to complain of intermittent, severe periumbilical pain following the colonoscopic examination. Subsequent computed tomography showed an enteric intussusception. An exploratory laparotomy revealed an intussuscepted Meckel's diverticulum, with transmural infarction. Colonoscopy was of little use in assessing the intussusception. However, colonoscopic examination may be performed initially, especially in an intussuscepted Meckel's diverticulum presenting with hematochezia. Endoscopists should note the endoscopic features of an intussuscepted Meckel's diverticulum.


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