INVERTED MECKEL'S DIVERTICULUM DIAGNOSED WITH CAPSULE ENDOSCOPY AND DOUBLE-BALLOON ENDOSCOPY ; A CASE REPORT

Abstract

We report herein on a 75-year-old male who presented with melena. Initial upper GI endoscopy, colonoscopy and computed tomography failed to find the bleeder. Capsule endoscopy revealed a polypoid lesion with net-like white line in the ileum, followed by double-balloon endoscopy which revealed a club like polypoid lesion located at the distal ileum. A Barium meal examination revealed a bulbous polypoid filling defect in the ileum. We therefore diagnosed that the lesion was an inverted Meckel's diverticulum. Surgical resection was performed. Pathologic examination indicated inverted Meckel's diverticulum. We propose that capsule endoscopy and double-balloon endoscopy are promising techniques to diagnose an inverted Meckel's diverticulum.