Duplication cyst of the small intestine found by double-balloon endoscopy: a case report.
A 35-year-old man was admitted due to bloody stool and anemia. The bleeding source could not be detected by esophagogastroduodenoscopy or colonoscopy. Double balloon endoscopy (DBE) revealed a diverticulum-like hole in which coagula stuck in the ileum at 1 meter on the oral side from the ileocecal valve. The adjacent mucosa just to the oral side of the hole was elevated like a submucosal tumor. The lesion was considered the source of bleeding and removed surgically. It was determined to be a cyst with an ileal structure on the mesenteric aspect accompanying gastric mucosa. The diagnosis was a duplication cyst of the ileum, which is a rare entity that can cause gastrointestinal bleeding. In the present case, DBE was used to find the hemorrhagic duplication cyst in the ileum.
Ogino
Haruei
H
Department of Internal Medicine, Saiseikai Fukuoka General Hospital, Fukuoka-Shi, Fukuoka-Ken, Japan.
Ochiai
Toshiaki
T
Nakamura
Norimoto
N
Yoshimura
Daisuke
D
Kabemura
Teppei
T
Kusumoto
Tetsuya
T
Matsuura
Hiroshi
H
Nakashima
Akihiko
A
Honda
Kuniomi
K
Nakamura
Kazuhiko
K
D000328:Adult; D002404:Catheterization; D003560:Cysts / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008297:Male