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

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Yuki Kawasaki1, Satoshi Shinozaki1,2, Tomonori Yano1

  • 1Division of Gastroenterology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan.

Case Reports in Gastroenterology
|December 29, 2017
PubMed

Insights

A rare case of inverted Meckel's diverticulum causing intussusception in an 18-year-old male was diagnosed using double-balloon enteroscopy. Minimally invasive techniques successfully reduced the intussusception and facilitated surgical resection.

Area of Science:

  • Gastroenterology
  • Surgical Innovation

Background:

  • Intussusception is a rare cause of abdominal pain in adults.
  • Meckel's diverticulum is a congenital anomaly that can lead to various complications.

Observation:

  • A protruding red lesion with small ulcers in the ileum caused intussusception.
  • Retrograde double-balloon enteroscopy identified the lesion 75 cm proximal to the ileocecal valve.

Findings:

  • An inverted Meckel's diverticulum was diagnosed.
  • Contrast medium injection and balloon wedging partially reduced the intussusception, avoiding emergency surgery.
  • Endoscopic tattooing marked the lesion for subsequent resection.

Implications:

  • This case highlights the utility of double-balloon enteroscopy in diagnosing obscure gastrointestinal lesions.
  • Minimally invasive techniques, including endoscopic interventions and laparoscopy-assisted surgery, offer effective management options for intussusception caused by Meckel's diverticulum.
Keywords:
Double-balloon enteroscopyIntussusceptionMeckel's diverticulumSmall intestine

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