Comorbid Meckel's diverticulum and omphalomesenteric cyst evaluated by small bowel series under double-balloon enteroscopy:a case report

  • TSURUTA Shinichi
    Department of Gastroenterology, National Hospital Organization Kyushu Medical Center Clinical Research Institute, National Hospital Organization Kyushu Medical Center
  • SUMIDA Yorinobu
    Department of Surgery, National Hospital Organization Kyushu Medical Center
  • HARADA Naohiko
    Department of Surgery, National Hospital Organization Kyushu Medical Center
  • HATA Yoshitaka
    Department of Surgery, National Hospital Organization Kyushu Medical Center
  • NAKAMUTA Makoto
    Department of Surgery, National Hospital Organization Kyushu Medical Center
  • IKEJIRI Koji
    Department of Surgery, National Hospital Organization Kyushu Medical Center
  • MOMOSAKI Masaya
    Department of Pathology, National Hospital Organization Kyushu Medical Center
  • TAKAHASHI Shunsuke
    Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University
  • HIRAHASHI Minako
    Department of Anatomic Pathology, Pathological Sciences, Graduate School of Medical Sciences, Kyushu University

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Other Title
  • ダブルバルーン小腸内視鏡下ガストログラフィン消化管X線検査で観察しえた卵黄腸管囊腫併存メッケル憩室の1例

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A 59-year-old man was referred to our hospital for examination of intermittent abdominal pain. Computed tomography scan showed a cystic lesion adjoining the ileum, and small bowel series demonstrated a small bowel diverticulum. Double-balloon enteroscopy (DBE) revealed a diverticulum in the ileum and a soft and smooth elevated lesion with a small hole at the base of the diverticulum. Small bowel series under DBE demonstrated that the cystic lesion communicated with the diverticulum through the small hole. The diagnosis was Meckel's diverticulum and an omphalomesenteric cyst. This is the first reported case of a Meckel's diverticulum and omphalomesenteric cyst communicating through a small hole without a fibrous ligament. In addition, precise evaluation was possible by small bowel series and DBE.

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