Abstract

FERRO, Susana Mão de et al. Meckel´s diverticulum diagnosed by double ballon enteroscopy. J Port Gastrenterol. [online]. 2010, vol.17, n.2, pp.65-68. ISSN 0872-8178.

An 18 year-old man presented with recurrent (three episodes) GI bleeding. Esophagogastroduodenoscopy, colonoscopy, enteroclysis, capsule endoscopy, abdominal CT, 99mTc-pertechnetate scintigraphy and double balloon enteroscopy using the oral route failed to identify the source of the bleeding. Double-balloon enteroscopy using the anal route was performed. We detected in the mid-ileum a diverticular formation compatible with the diagnosis of Meckel’s diverticulum. Laparoscopic diverticulectomy was performed and ulcerated ectopic gastric mucosa was detected at histology. Meckel´s diverticulum should be suspected in young patients with recurrent GI bleeding. Double-balloon enteroscopy has been reported to be useful in the diagnosis of this entity in patients with a negative scintigraphic study.

Keywords : Double-ballon enteroscopy; Meckel´s diverticulum; Obscure GI.

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