Journal of UOEH
Online ISSN : 2187-2864
Print ISSN : 0387-821X
ISSN-L : 0387-821X
2回目のカプセル内視鏡検査で、診断できたメッケル憩室出血の一例
秀島 宏典 渡邊 龍之宮島 佑一久米井 伸介久米 惠一郎芳川 一郎原田 大
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2021 年 43 巻 1 号 p. 75-80

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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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