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KMID : 0359020080370050364
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Korean Journal of Gastrointestinal Endoscopy
2008 Volume.37 No. 5 p.364 ~ p.368
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A Case of a Meckel’s Diverticular Bleeding Diagnosed by the Use of Double Balloon Enteroscopy
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Hew Woo-Young
Cha Jae-Myung
Jung Sung-Won
Shin Hyun-Phil
Choe Jae-Won
Joo Kwang-Ro
Lee Joung-Il
Park Jong-Beom
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Abstract
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Meckel’s diverticulum is one of the most common congenital anomalies, and its incidence is about 2% in the population. Most of the cases are asymptomatic and only 5% of cases are symptomatic with complications, including bleeding, intestinal obstruction, inflammation and perforation. Bleeding from a Meckel’s diverticulum is usually painless and is sometimes massive. Recently, the use of double balloon enteroscopy has allowed improved access in patients with obscure gastrointestinal bleeding; however, a case of bleeding from a Meckel’s diverticulum treated with double balloon enteroscopy hs rarely been reported. Double balloon enteroscopy can diagnose a Meckel’s diverticulum without difficulty as the lesion is usually located at the distal ileum, and the method provides endoscopic hemostasis for the bleeding. Therefore, double balloon enteroscopy might be a useful diagnostic and therapeutic modality for bleeding from a Meckel’s diverticulum. We experienced a case of bleeding from a Meckel’s diverticulum that was detected and was treated by the use of double-balloon enteroscopy in a 47-year-old man with recurrent episodes of melena.
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KEYWORD
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Double balloon enteroscopy, Meckel’s diverticulum, Bleeding
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