1986 Volume 28 Issue 6 Pages 1316-1321_1
A 20-year-old man had been complaining of abdominal pain and melena. He was referred to our hospital with the diagnosis of chronic, intermittent ileus of one month duration. A barium meal follow-through examination demonstrated an ileal intussusception, with a protruding lesion at the distal end, resembling an intestinal tumor. After an ileus tube was inserted, an ileoscopy was performed using an Olympus CF-IBW. The tumor-like lesion was covered with reddish, smooth and partially nodular epithelium. We made a diagnosis of an intussusception due to small intestinal submucosal tumor and partial resection of the ileum was performed. Macroscopic and histological examination of the operative specimen revealed that the elevated lesion was an inverted Meckel's diverticulum. There was no evidence of ectopic tissue in the diverticulum. In the medical literatures we have not located other cases with intussusception due to the inverted Meckel's diverticulum which was seen by endoscope preoperatively.
