A case of intussuscepted Meckel's diverticulum.
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 epigastric pain that began 6 h earlier. Colonoscopy revealed a reddish, soft, fist-sized polypoid lesion in the terminal ileum. The lesion was misinterpreted as a hematoma by an inexperienced endoscopist. The patient began to complain of intermittent, severe periumbilical pain following the colonoscopic examination. Subsequent computed tomography showed an enteric intussusception. An exploratory laparotomy revealed an intussuscepted Meckel's diverticulum, with transmural infarction. Colonoscopy was of little use in assessing the intussusception. However, colonoscopic examination may be performed initially, especially in an intussuscepted Meckel's diverticulum presenting with hematochezia. Endoscopists should note the endoscopic features of an intussuscepted Meckel's diverticulum.
Institute for Digestive Research, SoonChunHyang College of Medicine, 657 Hannam-Dong, Yongsan-Gu, Seoul 140-743, South Korea.
Tae-Hee
TH
Lee
Jin-Oh
JO
Kim
Jae-Joon
JJ
Kim
Seong-Sook
SS
Hong
So-Young
SY
Jin
Hyun-Gun
HG
Kim
Joo-Young
JY
Cho
Joon-Seong
JS
Lee
D000328:Adult; D003113:Colonoscopy / Q000379:methods; D003937:Diagnosis, Differential; D004724:Endoscopy / Q000379:methods; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis; D006406:Hematoma / Q000175:diagnosis; D006801:Humans; D007082:Ileum / Q000473:pathology; D007443:Intussusception / Q000175:diagnosis* / Q000473:pathology; D008467:Meckel Diverticulum / Q000175:diagnosis* / Q000473:pathology*; D013997:Time Factors; D014057:Tomography, X-Ray Computed / Q000379:methods