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Diagnosis of Inverted Meckel's diverticulum by double-balloon enteroscopy: a case report.
Hu, Shaozheng; Du, Hongyu; Wen, Jintao; Wu, Meimei; Huang, Binhao; Zhong, Jietao; Shi, Chuan; Liu, Chenzhou.
Afiliación
  • Hu S; Department of Pediatrics, Jiangmen Clinical College of Guangdong Medical University/Jiangmen Central Hospital, Jiangmen, China.
  • Du H; Department of Pediatrics, Jiangmen Clinical College of Guangdong Medical University/Jiangmen Central Hospital, Jiangmen, China.
  • Wen J; Department of Pediatrics, Jiangmen Clinical College of Guangdong Medical University/Jiangmen Central Hospital, Jiangmen, China.
  • Wu M; Clinical Experimental Center, Jiangmen Clinical College of Guangdong Medical University/Jiangmen Central Hospital, Jiangmen, China.
  • Huang B; Department of Nuclear Medicine, Jiangmen Clinical College of Guangdong Medical University/Jiangmen Central Hospital, Jiangmen, China.
  • Zhong J; Department of Gastroenterology, Jiangmen Clinical College of Guangdong Medical University/Jiangmen Central Hospital, Jiangmen, China.
  • Shi C; Department of Pediatric Surgery, Jiangmen Clinical College of Guangdong Medical University/Jiangmen Central Hospital, Jiangmen, China.
  • Liu C; Department of Pediatrics, Jiangmen Clinical College of Guangdong Medical University/Jiangmen Central Hospital, Jiangmen, China.
AME Case Rep ; 8: 33, 2024.
Article en En | MEDLINE | ID: mdl-38711899
ABSTRACT

Background:

Meckel's diverticulum (MD) is the most common congenital defect of the gastrointestinal tract, occurring in about 1% to 2% of population. Most MD are rarely symptomatic, with presenting symptoms including diverticulitis, digestive tract hemorrhage and intestinal obstruction. The semblance of symptoms to enteritis and appendicitis makes preoperative diagnosis challenging. Current diagnosis of MD includes technetium-99m pertechnate scan, laparoscopic or intraoperative findings and examining surgical specimens. Here, we report that a double-balloon enteroscopy (DBE) improves the diagnosis accuracy of MD and presents high clinical application value. Case Description A 12-year-old male patient was admitted to our hospital due to recurrent abdominal pain and black stools for more than half a year, recurrence for 2 days, accompanied by vomiting. The boy had anemic appearance, with periumbilical tenderness, and no mass was detected upon palpations. Past medical records revealed recurrent abdominal pain episodes thrice. Pre-surgery 99TcmO4-single-photon emission computed tomography/computed tomography (SPECT/CT) imaging was performed but did not reach the condition for diagnosis of MD. DBE was then performed and identified an upper ileum mass. After surgery, it was confirmed that the patient was an inverted MD, and the pathology showed gastric mucosa and pancreatic tissue. The patient recovered well after surgery and was discharged.

Conclusions:

DBE is not widely used in the diagnosis of MD, but its accuracy is higher than that of radionuclide scanning imaging. In addition, several advantages such as hemostasis treatment, direct detection and observation of the diverticulum, and demarcation of the site and scope of the lesion prior to surgery brings high clinical application value.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: AME Case Rep Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: China
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: AME Case Rep Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: China