Journal of UOEH
Online ISSN : 2187-2864
Print ISSN : 0387-821X
ISSN-L : 0387-821X
Meckel’s Diverticulum Bleeding Missed by the First but Detected by the Second Capsule Endoscopy
Kousuke HIDESHIMA Tatsuyuki WATANABEYuichi MIYASHIMAShinsuke KUMEIKeiichiro KUMEIchiro YOSHIKAWAMasaru HARADA
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2021 Volume 43 Issue 1 Pages 75-80

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Abstract

A 13-year-old boy was admitted to our hospital because of bloody stools. Although a Meckel’s diverticulum (MD) was suspected, capsule endoscopy (CE) revealed no remarkable findings. Seven months later, he was admitted again because of rebleeding. CE was performed again and revealed an elevated lesion and fresh blood in the ileum. A single balloon endoscopic examination revealed a diverticulum with an elevated lesion in it. Histologic findings showed ectopic gastric mucosa, thus we diagnosed this patient as having MD. Although CE is useful for the examination of obscure gastrointestinal bleeding, a single CE is not enough to diagnose MD bleeding. The timing in performing CE and the evaluation of other modalities would be valuable for patients suspected of having MD.

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© 2021 The University of Occupational and Environmental Health, Japan
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