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.
Lee
Tae-Hee
TH
Institute for Digestive Research, SoonChunHyang College of Medicine, 657 Hannam-Dong, Yongsan-Gu, Seoul 140-743, South Korea.
Kim
Jin-Oh
JO
Kim
Jae-Joon
JJ
Hong
Seong-Sook
SS
Jin
So-Young
SY
Kim
Hyun-Gun
HG
Cho
Joo-Young
JY
Lee
Joon-Seong
JS
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