Year 2017 / Volume 109 / Number 4
Letter to the Editor
Laparoscopic treatment of hemorrhagic Meckel diverticulum after diagnosis with wireless capsule endoscopy and double-balloon enteroscopy

315

DOI: 10.17235/reed.2017.4522/2016

Haibo Yu, Hongliang Song, Jing Cai,

Abstract
Meckel diverticulum (MD) is a common small intestinal malformation. The difficulty of MD with hemorrhage treatment lies in preoperative diagnosis. Wireless capsule endoscopy (WCE) and double-balloon enteroscopy (DBE) have been widely used to diagnose and treat diseases of the small intestine, but only rarely have they been used in combination to diagnose and treat bleeding MD. We successfully diagnosed and treated a patient with MD with hemorrhage with a combination of WCE, DBE, and laparoscopy. A 17-year-old man presented to the emergency room with hematochezia and was admitted for testing. Abdominal computed tomography, gastroscopy, and colonoscopy did not reveal hemorrhage, but WCE showed MD combined with ulceration. DBE was conducted to confirm the presence of the lesion and showed MD combined with ulceration 1 m proximal to the ileocecal valve. The patient underwent emergency laparoscopic surgery, which confirmed MD. The patient recovered well after the operation.MD with hemorrhage poses diagnostic and therapeutic challenges and can be missed on examination using standard modalities. Laparoscopy combined with WCE and DBE can be efficacious in the treatment of MD with hemorrhage.
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References
[1]. Sagar J, Kumar V,Shah DK. Meckel's diverticulum: a systematic review. Journal of the Royal Society of Medicine 2006; 99:501-505. DOI: 10.1258/jrsm.99.10.501.
[2]. Malik AA, Shams ul B, Wani KA,et al. Meckel's diverticulum-Revisited. Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association 2010; 16:3-7. DOI:10.4103/1319-3767.58760.
[3]. Papparella A, Nino F, Noviello C,et al. Laparoscopic approach to Meckel's diverticulum. World journal of gastroenterology 2014; 20:8173-8178. DOI: 10.3748/wjg.v20.i25.8173.
[4]. Ohmiya N, Nakagawa Y, Nagasaka M,et al. Obscure gastrointestinal bleeding: diagnosis and treatment. Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society 2015; 27:285-294. DOI: 10.1111/den.12423.
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Yu H, Song H, Cai J. Laparoscopic treatment of hemorrhagic Meckel diverticulum after diagnosis with wireless capsule endoscopy and double-balloon enteroscopy . 4522/2016


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Publication history

Received: 06/07/2016

Accepted: 20/07/2016

Online First: 23/02/2017

Published: 31/03/2017

Article Online First time: 232 days

Article editing time: 268 days


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