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World J Gastroenterol. Oct 28, 2009; 15(40): 5109-5111
Published online Oct 28, 2009. doi: 10.3748/wjg.15.5109
A case of intussuscepted Meckel’s diverticulum
Tae Hee Lee, Jin-Oh Kim, Hyun Gun Kim, Joo Young Cho, Joon Seong Lee, Institute for Digestive Research, SoonChunHyang College of Medicine, Seoul 140-743, South Korea
Jae Joon Kim, Department of Surgery, SoonChunHyang College of Medicine, Seoul 140-743, South Korea
Seong Sook Hong, Department of Radiology, SoonChunHyang College of Medicine, Seoul 140-743, South Korea
So Young Jin, Department of Pathology, SoonChunHyang College of Medicine, Seoul 140-743, South Korea
Author contributions: Lee TH and Kim JO contributed equally to this work; Lee TH collected data and drafted the paper; Kim JO edited the paper; Hong SS performed the radiological analysis; Jin SY performed histopathological analysis; Kim JJ, Kim HG, Cho JY and Lee JS reviewed data analysis and corrected research design.
Correspondence to: Jin-Oh Kim, MD, PhD, Professor, Institute for Digestive Research, SoonChunHyang College of Medicine, 657 Hannam-Dong, Yongsan-Gu, Seoul 140-743, South Korea. email@example.com
Telephone: +82-2-7099202 Fax: +82-2-7099696
Received: August 10, 2009
Revised: September 18, 2009
Accepted: September 25, 2009
Published online: October 28, 2009
We report colonoscopic features of an intussuscepted Meckel’s diverticulum, presenting with hematochezia. A 35-year-old woman presented to the emergency room with acute onset, transient, sharp, severe epigastric pain that began 6 h earlier. Colonoscopy revealed a reddish, soft, fist-sized polypoid lesion in the terminal ileum. The lesion was misinterpreted as a hematoma by an inexperienced endoscopist. The patient began to complain of intermittent, severe periumbilical pain following the colonoscopic examination. Subsequent computed tomography showed an enteric intussusception. An exploratory laparotomy revealed an intussuscepted Meckel’s diverticulum, with transmural infarction. Colonoscopy was of little use in assessing the intussusception. However, colonoscopic examination may be performed initially, especially in an intussuscepted Meckel’s diverticulum presenting with hematochezia. Endoscopists should note the endoscopic features of an intussuscepted Meckel’s diverticulum.