Meckel Diverticulum Diagnosed by Double-Balloon Enteroscopy in Two Pediatric Patients

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  • Usui Yoshiko
    Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine
  • Maeda Kosaku
    Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine
  • Ono Shigeru
    Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine
  • Yanagisawa Satohiko
    Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine
  • Baba Katsuhisa
    Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine
  • Tsuji Yuki
    Division of Pediatric Surgery, Department of Surgery, Jichi Medical University School of Medicine

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Other Title
  • ダブルバルーン小腸内視鏡にて診断し得た小児メッケル憩室の2 症例
  • 症例報告 ダブルバルーン小腸内視鏡にて診断し得た小児メッケル憩室の2症例
  • ショウレイ ホウコク ダブルバルーン ショウチョウ ナイシキョウ ニテ シンダン シエタ ショウニ メッケル ケイシツ ノ 2 ショウレイ

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Abstract

We report two pediatric patients with Meckel diverticulum diagnosed by double-balloon enteroscopy (DBE). Case 1 was an 8-year-old boy with congenital heart disease complained of general fatigue and tarry stools. His hemoglobin level was 4.5 g/dl. Although Tc 99m-labeled red blood cell scintigraphy showed active bleeding around the ileocecal area, upper and lower ileocecal endoscopy could not detect the source of bleeding. Negative results were obtained with Tc-99m pertechnetate scintigraphy. Case 2 was a 12-year-old boy presented with massive tarry stools and required blood transfusion. Findings of Tc-99m pertechnetate scintigraphy were negative. These two patients were diagnosed with Meckel diverticulum by DBE. Meckel diverticles were subsequently resected through small incisions. DBE is feasible for the diagnosis of pediatric small-bowel bleeding of unknown origin, and accurate diagnosis of Meckel diverticulum can provide adequate treatment.

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