Meckel's Diverticulum Diagnosed on Double-balloon Enteroscopy
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概要
- 論文の詳細を見る
Background : Meckel's diverticulum is a congenital anomaly of the gastrointestinal tract and is situated 40-130 cm from the ileocecal junction. Thus, it is difficult to detect endoscopically prior to surgery. However, double-balloon enteroscopy (DBE) enables the entire small intestine to be examined.Case Report : A 29-year-old man presented with a 4-day history of melena without abdominal pain. Upper gastrointestinal endoscopy, colonoscopy, abdominal contrast-enhanced computed tomography, radiolabeled red cell scintigraphy, and technetium(Tc) 99m pertechnetate scintigraphy did not detect the source of bleeding. However, on retrograde DBE, a Meckel's diverticulum, which had a small ulcer, was found in the distal part of the ileum. The diverticulum was resected laparoscopically. The patient's postoperative course was uneventful; the patient continues to be in complete remission.Conclusions : This is the case of the Meckel's diverticulum that was preoperatively diagnosed using DBE.
- 長崎大学の論文
著者
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Sawai Terumitsu
First Department Of Surgery Nagasaki University School Of Medicine
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SAWAI TERUMITSU
Department of Translational Medical Sciences, Division of Surgical Oncology, Nagaski University Grad
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Matsushima Kayoko
Second Department of Internal Medicine, Nagasaki University School of Medicine
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Hayashi Tomayoshi.
Department of Pathology, Nagasaki University School of Medicine
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Matsushima Kayoko
Second Department Of Internal Medicine Nagasaki University School Of Medicine
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Hayashi Tomayoshi.
Department Of Pathology Nagasaki University School Of Medicine
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Hayashi Tomayoshi.
Department Of Pathology Nagasaki Prefectural Shimabara Hospital
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Isomoto Hajime
First Department of Surgery, Nagasaki University School of Medicine
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