A case of intussuscepted Meckel’s diverticulum

被引:0
作者
Tae Hee Lee [1 ]
Jin-Oh Kim [1 ]
Jae Joon Kim [2 ]
Seong Sook Hong [3 ]
So Young Jin [4 ]
Hyun Gun Kim [1 ]
Joo Young Cho [1 ]
Joon Seong Lee [1 ]
机构
[1] Institute for Digestive Research,SoonChunHyang College of Medicine
[2] Department of Surgery,SoonChunHyang College of Medicine
[3] Department of Radiology,SoonChunHyang College of Medicine
[4] Department of Pathology,SoonChunHyang College of Medicine
关键词
Colonoscopy; Intussusception; Meckel’s diverticulum;
D O I
暂无
中图分类号
R656.7 [小肠];
学科分类号
1002 ; 100210 ;
摘要
We report colonoscopic features of an intussuscepted Meckel’s diverticulum, presenting with hematochezia. A 35-year-old woman presented to the emergency room with acute onset, transient, sharp, severe epi-gastric pain that began 6 h earlier. Colonoscopy re-vealed a reddish, soft, fi st-sized polypoid lesion in the terminal ileum. The lesion was misinterpreted as a hematoma by an inexperienced endoscopist. The pa-tient began to complain of intermittent, severe peri-umbilical pain following the colonoscopic examination. Subsequent computed tomography showed an enteric intussusception. An exploratory laparotomy revealed an intussuscepted Meckel’s diverticulum, with trans-mural infarction. Colonoscopy was of little use in as-sessing the intussusception. However, colonoscopic examination may be performed initially, especially in an intussuscepted Meckel’s diverticulum present-ing with hematochezia. Endoscopists should note the endoscopic features of an intussuscepted Meckel’s diverticulum.
引用
收藏
页码:5109 / 5111
页数:3
相关论文
共 11 条
[1]  
Meckel’s diverticulum. Turgeon,KD,Barnett,JL. The American journal of Gastroenterology . 1990
[2]  
Intussusception in adults. Stubenbord,WT,Thorbjarnarson,B. Annals of Surgery . 1970
[3]  
Intussusception in adults. Review of 160 cases. Weilbaecher,D,Bolin,JA,Hearn,D. The American Journal of Surgery . 1971
[4]  
Tumor induced ileoileal invagination in adults. Akcay,MN,Polat,M,Cadirci,M,Gencer,B. The American Surgeon . 1994
[5]  
Adult intestinal intussusception:CT appearances and identification of a causative lead point. Kim YH,Blake MA,Harisinghani MG,Archer-Arroyo K,Hahn PF,Pitman MB,Mueller PR. Radiographics . 2006
[6]  
Intussusception in adults. Agha FP. American Journal of Roentgenology . 1986
[7]  
Adult intussusception. Azar T,Berger D L. Annals of Surgery . 1997
[8]  
Intussusception of the bowel in adults: a review. Marinis A,Yiallourou A,Samanides L,Dafnios N,Anastasopoulos G,Vassiliou I,Theodosopoulos T. World Journal of Gastroenterology . 2009
[9]  
Adult intussuscepted Meckel‘s diverticulum presenting mainly lower gastrointestinal bleeding. Lu CL,Chen CY,Chiu ST,Chang FY,Lee SD. Journal of Gastroenterology . 2001
[10]  
Adult intussuscepted Meckel‘s diverticulum presenting mainly lower gastrointestinal bleeding. Lu CL,Chen CY,Chiu ST,Chang FY,Lee SD. Journal of Gastroenterology . 2001