title: Laparoscopic treatment of hemorrhagic Meckel diverticulum after diagnosis with wireless capsule endoscopy and double-balloon enteroscopy.
abstract: Meckel diverticulum (MD) is a common small intestinal malformation. The difficulty of MD with hemorrhage treatment lies in preoperative diagnosis. Wireless capsule endoscopy (WCE) and double-balloon enteroscopy (DBE) have been widely used to diagnose and treat diseases of the small intestine, but only rarely have they been used in combination to diagnose and treat bleeding MD. We successfully diagnosed and treated a patient with MD with hemorrhage with a combination of WCE, DBE, and laparoscopy. A 17-year-old man presented to the emergency room with hematochezia and was admitted for testing. Abdominal computed tomography, gastroscopy, and colonoscopy did not reveal hemorrhage, but WCE showed MD combined with ulceration. DBE was conducted to confirm the presence of the lesion and showed MD combined with ulceration 1 m proximal to the ileocecal valve. The patient underwent emergency laparoscopic surgery, which confirmed MD. The patient recovered well after the operation.MD with hemorrhage poses diagnostic and therapeutic challenges and can be missed on examination using standard modalities. Laparoscopy combined with WCE and DBE can be efficacious in the treatment of MD with hemorrhage.
authors.affiliation: Department of Hepatobiliary Surgery, Wenzhou Central Hospital, China.
authors.forename: Haibo
authors.initials: H
authors.lastname: Yu
authors.affiliation: Wenzhou Central Hospital.
authors.forename: Hongliang
authors.initials: H
authors.lastname: Song
authors.affiliation: Wenzhou Central Hospital.
authors.forename: Jing
authors.initials: J
authors.lastname: Cai
mesh_terms: D053704:Capsule Endoscopy; D058582:Double-Balloon Enteroscopy; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*