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Endoscopy 2007; 39: E160
DOI: 10.1055/s-2006-925379
Unusual cases and technical notes

© Georg Thieme Verlag KG Stuttgart · New York

A Meckel’s diverticulum with an ileal ulcer detected with double-balloon enteroscopy

K. Honda1 , T. Mizutani1 , N. Higuchi1 , K. Kanayama1 , Y. Sumida1 , S. Yoshinaga1 , S. Itaba1 , H. Akiho1 , R. Yoshimura2 , K. Nakamura1 , T. Ueki3 , Y. Miyasaka4 , R. Takayanagi1
  • 1Dept. of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
  • 2Hakuaikai Medical Association, Human Wellness Center, Fukuoka, Japan
  • 3Dept. of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
  • 4Dept. of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
Further Information

K. Nakamura, M. D., Ph. D.

Dept. of Medicine and Bioregulatory Science

Graduate School of Medical SciencesKyushu University3-1-1 Maidashi, Higashi-kuFukuoka 812-8582Japan

Fax: +81-92-642-5287

Email: knakamur@intmed3.med.kyushu-u.ac.jp

Publication History

Publication Date:
23 July 2007 (online)

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Table of Contents

    Endoscopy_UCTN_Code_CCL_1AC_2AD

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    Figure 1 A 34-year-old man with iron-deficiency anemia was referred to hospital due to an ileal lesion (arrow) that had been detected on barium-meal radiography. Previous upper and lower gastrointestinal endoscopy examinations had not identified a bleeding site.

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    Figure 2 He underwent a peranal double-balloon enteroscopy (DBE) examination with a Fujinon EN-450P5/20 scope (Fujinon-Toshiba Inc., Tokyo, Japan). DBE revealed a diverticulum (arrow) and an ileal ulcer.

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    Figure 3 a At laparoscopy, the diverticulum found at 80 cm from the ileocecal valve on the antimesenteric side of the ileum (arrow) was surgically resected. b The macroscopic view of the specimen shows a Meckel’s diverticulum 3 × 2 cm in size (arrows), accompanied by an ileal ulcer (arrowheads). The histological assessment did not identify any ectopic tissue inside the diverticulum. After the operation, the patient’s anemia improved.

    K. Nakamura, M. D., Ph. D.

    Dept. of Medicine and Bioregulatory Science

    Graduate School of Medical SciencesKyushu University3-1-1 Maidashi, Higashi-kuFukuoka 812-8582Japan

    Fax: +81-92-642-5287

    Email: knakamur@intmed3.med.kyushu-u.ac.jp

    K. Nakamura, M. D., Ph. D.

    Dept. of Medicine and Bioregulatory Science

    Graduate School of Medical SciencesKyushu University3-1-1 Maidashi, Higashi-kuFukuoka 812-8582Japan

    Fax: +81-92-642-5287

    Email: knakamur@intmed3.med.kyushu-u.ac.jp

       Permissions and Reprints
    Zoom Image

    Figure 1 A 34-year-old man with iron-deficiency anemia was referred to hospital due to an ileal lesion (arrow) that had been detected on barium-meal radiography. Previous upper and lower gastrointestinal endoscopy examinations had not identified a bleeding site.

    Zoom Image

    Figure 2 He underwent a peranal double-balloon enteroscopy (DBE) examination with a Fujinon EN-450P5/20 scope (Fujinon-Toshiba Inc., Tokyo, Japan). DBE revealed a diverticulum (arrow) and an ileal ulcer.

    Zoom Image

    Figure 3 a At laparoscopy, the diverticulum found at 80 cm from the ileocecal valve on the antimesenteric side of the ileum (arrow) was surgically resected. b The macroscopic view of the specimen shows a Meckel’s diverticulum 3 × 2 cm in size (arrows), accompanied by an ileal ulcer (arrowheads). The histological assessment did not identify any ectopic tissue inside the diverticulum. After the operation, the patient’s anemia improved.