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Inverted Meckel's Diverticulum Masquerading as a Subepithelial Tumor of the Ileum
Mohammad Noubani1, Rohit Bhan1, Nimra Ghani1
1Department of Surgery, Renaissance School of Medicine, Stony Brook, NY.
An inverted Meckel's diverticulum mimicked a submucosal mass in a patient with chronic anemia. Intraoperative enteroscopy successfully identified and allowed surgical resection of this rare condition.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Chronic iron deficiency anemia can present with obscure gastrointestinal bleeding.
- Meckel's diverticulum is a congenital anomaly that can cause various complications.
Observation:
- A 53-year-old woman with refractory iron deficiency anemia underwent multiple endoscopic evaluations.
- Capsule endoscopy and double-balloon enteroscopy were inconclusive for the proximal ileal lesion.
Findings:
- Intraoperative enteroscopy revealed a large, pedunculated, intraluminal subepithelial lesion.
- Pathology confirmed the lesion to be an inverted Meckel's diverticulum.
Implications:
- This case highlights the importance of considering inverted Meckel's diverticulum in the differential diagnosis of obscure gastrointestinal bleeding.
- Intraoperative enteroscopy is crucial for diagnosing and managing intraluminal lesions not detected by other methods.
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