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Updated: May 11, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Meckel's diverticulum bleeding diagnosed with magnetic resonance enterography: a case report
Fu-Run Zhou1, Liu-Ye Huang, Hai-Zhu Xie
1Department of Gastroenterology, Yu Huang Ding Hospital Affiliated to Qingdao University School of Medicine, Yantai 264000, Shandong Province, China. rzhoufu@126.com
World Journal of Gastroenterology
|May 16, 2013
Summary
Magnetic resonance (MR) enterography aids in diagnosing bleeding Meckel's diverticulum when other methods fail. This imaging technique improves diagnostic rates for difficult-to-locate small bowel diverticula.
Area of Science:
- Gastroenterology
- Diagnostic Imaging
- Surgical Pathology
Background:
- Meckel's diverticulum diagnosis, especially when distant from the ileocecal valve, remains challenging.
- Double-balloon enteroscopy has improved diagnostic rates but cannot confirm all cases.
Observation:
- A male patient presented with bleeding from a Meckel's diverticulum.
- Conventional endoscopic methods (colonoscopy, anal enteroscopy, oral colonoscopy) failed to identify the bleeding source.
- Magnetic resonance (MR) enterography revealed a 3.0 cm lesion in the lower ileum.
Findings:
- Surgical exploration identified a 3 cm x 2 cm mass 150 cm from the ileocecal valve with mesenteric inflammation.
- Intraoperative diagnosis confirmed bleeding small bowel diverticulum.
- Postoperative pathology revealed Meckel's diverticulum containing pancreatic tissue.
Implications:
- MR enterography significantly enhances the diagnostic accuracy of Meckel's diverticulum.
- This imaging modality is crucial for diagnosing cases missed by double-balloon enteroscopy.
- Improved diagnosis leads to timely surgical intervention and successful patient outcomes.
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