Korean J Gastrointest Endosc > Volume 32(6); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;32(6): 387-391.
캡슐내시경으로 진단한 Meckel 게실 출혈 1예
송현주·심기남·유금혜·염혜정·김태헌·정성애·유권·구혜수*
이화여자대학교 의과대학 내과학교실, *병리학교실, 의과학연구소
A Case of Bleeding Meckel's Diverticulm Diagnosed by Wireless Capsule Endoscopy
Hyun Joo Song, M.D., Ki-Nam Shim, M.D., Kum Hei Ryu, M.D., Hye Jung Yeom, M.D., Tae Hun Kim, M.D., Sung-Ae Jung, M.D., Kwon Yoo, M.D. and Hea-Soo Koo, M.D.*
Departments of Internal Medicine, and *Pathology, Ewha Medical Research Institute, Ewha Womans University College of Medicine, Seoul, Korea
Abstract
Meckel's diverticulum is a remnant of the vitelline duct located in the distal ileum, and it is the most common cause of small bowel bleeding in patients who are under the age of 25 years. The ectopic gastric mucosa in Meckel's diverticulum causes ulceration and acute gastrointestinal bleeding. Capsule endoscopy is now a valuable tool for diagnosing obscure gastrointestinal bleeding. However, the identification of a Meckel's diverticulum by wireless capsule endoscopy has rarely been reported on. An 18-year-old man was admitted for recurrent melena and anemia. He underwent a small bowel series that showed a jejunal diverticulum, and capsule endoscopy then revealed a jejunal diverticulum with multiple ulcerations. After 2 months, he had fresh hematochezia and so he underwent small bowel segemental resection that included the jejunal diverticulum. The operation revealed Meckels' diverticulum at 180 cm distant from the ileocecal valve at the mesenteric side. We report here on a case of bleeding Meckel's diverticulum that was diagnosed by wireless capsule endoscopy, and we include a review of the relevant literature. (Korean J Gastrointest Endosc 2006;32:387⁣391)
Key Words: Capsule endoscopy, Meckel's diverticulum
주요어: 캡슐내시경검사, Meckel 게실
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