INTUSSUSCEPTION DUE TO INVERTED MECKEL'S DIVERTICULUM, REPORT OF A CASE

Abstract

A 41-year-old man was admitted to our hospital for evaluation of iron deficiency anemia. Small intestinal radiography showed a finger-like long pedunculated polypoid legion 70cm distal to the Bauhin's valve. Radiographically, it looked sac-shaped and the shape was easily changed during the compression study. An ulceration was suspected on the tip of the polypoid legion. Because of the peculiar shape, history of bleeding, and location, an inverted Meckel's diverticulum was suggested. Local resection of the small intestine was performed. Histologically, ectopic gastric pyloric-type mucosa with an open ulcer (Ul-III) was seen in the tip, however, most of the diverticulum was covered with small intestinal mucosa. This legion was diagnosed as an inverted Meckel's diverticulum.