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Double-balloon endoscopy WAS effective in diagnosing small intestinal duplication: a case report
Yuji Nadatani1, Toshio Watanabe2, Takashi Sugawa1
1Department of Gastroenterology, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka City, Osaka 545-8585 Japan.
Springerplus
|September 22, 2016
Summary
Adult ileal duplication, a rare condition, was diagnosed using double-balloon endoscopy (DBE). This advanced imaging technique identified the abnormality when other methods failed, highlighting its utility in diagnosing rare gastrointestinal disorders.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Diagnostic Imaging
Background:
- Ileal duplications are rare in adults, typically presenting in childhood with symptoms like pain or bleeding.
- Adult presentation often leads to delayed diagnosis due to non-specific symptoms.
Purpose of the Study:
- To report a case of adult ileal duplication diagnosed via double-balloon endoscopy (DBE).
- To highlight the diagnostic efficacy of DBE for rare small intestinal anomalies.
Main Methods:
- A 73-year-old male with anemia and melena underwent diagnostic procedures.
- Double-balloon endoscopy (DBE) was used to examine the ileum.
- Enteroclysis via DBE and technetium-99m pertechnetate scintigraphy were performed.
Main Results:
- DBE identified an ileal duplication, appearing as a diverticulum-like structure, approximately 100 cm from the ileocecal valve.
- The duplication's opening was detected by DBE but missed by capsule endoscopy (VCE) and computed tomography (CT).
- No ectopic gastric mucosa was found.
Conclusions:
- DBE is a valuable tool for diagnosing adult ileal duplications, especially when other imaging modalities are insufficient.
- This case represents the first reported instance of tubular ileal duplication diagnosed with DBE.