| 이중풍선 소장내시경으로 진단한 Meckel 게실 출혈 1예 |
| 허우영ㆍ차재명ㆍ정성원ㆍ신현필ㆍ최재원ㆍ주광로ㆍ이정일ㆍ박종범* |
| 경희대학교 의과대학 내과학교실, *웰파크병원 |
| A Case of a Meckel's Diverticular Bleeding Diagnosed by the Use of Double Balloon Enteroscopy |
| Woo Young Heo, M.D., Jae Myung Cha, M.D., Sung Won Jung, M.D., Hyun Phil Shin, M.D., Jae Won Choe, M.D., Kang Ro Joo, M.D., Joung Il Lee, M.D. and Jong Beom Park, M.D.* |
| Department of Internal Medicine, Kyunghee University College of Medicine, *Wellpark Hospital, Seoul, Korea |
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| Abstract |
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Meckel's diverticulum is one of the most common congenital anomalies, and its incidence is about 2% in the population. Most of the cases are asymptomatic and only 5% of cases are symptomatic with complications, including bleeding, intestinal obstruction, inflammation and perforation. Bleeding from a Meckel's diverticulum is usually painless and is sometimes massive. Recently, the use of double balloon enteroscopy has allowed improved access in patients with obscure gastrointestinal bleeding; however, a case of bleeding from a Meckel's diverticulum treated with double balloon enteroscopy hs rarely been reported. Double balloon enteroscopy can diagnose a Meckel's diverticulum without difficulty as the lesion is usually located at the distal ileum, and the method provides endoscopic hemostasis for the bleeding. Therefore, double balloon enteroscopy might be a useful diagnostic and therapeutic modality for bleeding from a Meckel's diverticulum. We experienced a case of bleeding from a Meckel's diverticulum that was detected and was treated by the use of double-balloon enteroscopy in a 47-year-old man with recurrent episodes of melena. (Korean J Gastrointest Endosc 2008;37:364-368) |
| Key Words:
Double balloon enteroscopy, Meckel's diverticulum, Bleeding |
| 주요어:
이중풍선 소장내시경, Meckel 게실, 출혈 |
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