Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy

An 18-year-old man presented after undergoing multiple investigations for abdominal pain. Retrograde double-balloon enteroscopy showed a protruding red lesion in the ileum with small ulcers, approximately 75 cm proximal to the ileocecal valve, resulting in an intussusception. An inverted Meckel’s di...

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Main Authors: Yuki Kawasaki, Satoshi Shinozaki, Tomonori Yano, Kenichi Oshiro, Mitsuaki Morimoto, Alan Kawarai Lefor, Hironori Yamamoto
Format: Article
Language:English
Published: Karger Publishers 2017-10-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:https://www.karger.com/Article/FullText/481161
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author Yuki Kawasaki
Satoshi Shinozaki
Tomonori Yano
Kenichi Oshiro
Mitsuaki Morimoto
Alan Kawarai Lefor
Hironori Yamamoto
author_facet Yuki Kawasaki
Satoshi Shinozaki
Tomonori Yano
Kenichi Oshiro
Mitsuaki Morimoto
Alan Kawarai Lefor
Hironori Yamamoto
author_sort Yuki Kawasaki
collection DOAJ
description An 18-year-old man presented after undergoing multiple investigations for abdominal pain. Retrograde double-balloon enteroscopy showed a protruding red lesion in the ileum with small ulcers, approximately 75 cm proximal to the ileocecal valve, resulting in an intussusception. An inverted Meckel’s diverticulum was strongly suspected. Pressure was applied to the protruding lesion using contrast medium injection after wedging the lumen with a balloon. The intussusception partially reduced, avoiding the need for emergent surgery. Endoscopic tattooing was performed to mark the lesion for subsequent resection. Elective laparoscopy-assisted surgery with minimum laparotomy revealed an inverted Meckel’s diverticulum, which was resected.
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spelling doaj.art-385e637e59e147d891c7f4ad8b0ccf562022-12-22T03:08:08ZengKarger PublishersCase Reports in Gastroenterology1662-06312017-10-0111363263610.1159/000481161481161Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon EnteroscopyYuki KawasakiSatoshi ShinozakiTomonori YanoKenichi OshiroMitsuaki MorimotoAlan Kawarai LeforHironori YamamotoAn 18-year-old man presented after undergoing multiple investigations for abdominal pain. Retrograde double-balloon enteroscopy showed a protruding red lesion in the ileum with small ulcers, approximately 75 cm proximal to the ileocecal valve, resulting in an intussusception. An inverted Meckel’s diverticulum was strongly suspected. Pressure was applied to the protruding lesion using contrast medium injection after wedging the lumen with a balloon. The intussusception partially reduced, avoiding the need for emergent surgery. Endoscopic tattooing was performed to mark the lesion for subsequent resection. Elective laparoscopy-assisted surgery with minimum laparotomy revealed an inverted Meckel’s diverticulum, which was resected.https://www.karger.com/Article/FullText/481161IntussusceptionSmall intestineMeckel’s diverticulumDouble-balloon enteroscopy
spellingShingle Yuki Kawasaki
Satoshi Shinozaki
Tomonori Yano
Kenichi Oshiro
Mitsuaki Morimoto
Alan Kawarai Lefor
Hironori Yamamoto
Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy
Case Reports in Gastroenterology
Intussusception
Small intestine
Meckel’s diverticulum
Double-balloon enteroscopy
title Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy
title_full Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy
title_fullStr Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy
title_full_unstemmed Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy
title_short Intussusception due to an Inverted Meckel’s Diverticulum Diagnosed by Double-Balloon Enteroscopy
title_sort intussusception due to an inverted meckel s diverticulum diagnosed by double balloon enteroscopy
topic Intussusception
Small intestine
Meckel’s diverticulum
Double-balloon enteroscopy
url https://www.karger.com/Article/FullText/481161
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