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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.
Abstract:
We describe a case of an inverted Meckel's diverticulum presenting as an intraluminal subepithelial lesion on intraoperative enteroscopy. A 53-year-old woman presented with chronic iron deficiency anemia unresponsive to escalating iron supplementation. After equivocal upper and lower endoscopy and negative cross-sectional imaging, capsule endoscopy suggested a submucosal mass lesion in the proximal ileum. Antegrade double-balloon enteroscopy was unsuccessful in reaching the lesion. A large pedunculated, submucosal-appearing lesion was finally identified on intraoperative enteroscopy. The mass was surgically resected, and final pathology confirmed an inverted Meckel's diverticulum.
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