Korean J Gastrointest Endosc > Volume 40(5); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(5): 334-337.
고령에서 반복하는 혈변으로 진단된 멕켈 게실 1예
김동균ㆍ김진오ㆍ김현건ㆍ이태희ㆍ정윤호ㆍ조주영ㆍ이준성ㆍ진소영*
순천향대학교 의과대학 내과학교실 소화기연구소, *병리학교실
A Case of Meckel's Diverticulum Diagnosed for Recurrent Hematochezia in Old Age
Dong Kyun Kim, M.D., Jin Oh Kim, M.D., Hyun Gun Kim, M.D., Tae Hee Lee, M.D., Yoon Ho Jung, M.D., Joo Young Cho, M.D., Joon Seong Lee, M.D. and So Young Jin, M.D.*
Institute for Digestive Research, Digestive Disease Center, Departments of Internal Medicine, *Pathology, Soonchunhyang University College of Medicine, Seoul, Korea
Abstract
The small bowel is the most common site of an unknown origin of gastrointestinal bleeding. Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract in children. The complications from Meckel's diverticulum such as bleeding decrease with age, and so Meckel's diverticular bleeding is very rare in old age patients. The diagnosis of Meckel's diverticulum may be very difficult and especially in old age patients. Capsule endoscopy and double balloon enteroscopy have recently become useful diagnostic tools for assessing diverticular bleeding and small bowel lesions as these techniques can examine the entire small intestine. We report here on a case of Meckel's diverticulum that was detected by capsule endoscopy and double balloon enteroscopy and this was confirmed by surgery in a 76-year-old man with recurrent hematochezia. (Korean J Gastrointest Endosc 2010;40:334-337)
Key Words: Meckel's diverticulum, Old age, Capsule endoscopy, Double balloon enteroscopy
주요어: 멕켈 게실, 고령, 캡슐내시경, 이중풍선 소장내시경
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