Year 2017 / Volume 109 / Number 4
Digestive Diseases Image
Meckel´s diverticulum bleeding detected by capsule endoscopy

295-296

José Francisco Juanmartiñena Fernández, Iñaki Fernández-Urién Sainz, Cristina Saldaña Dueñas, Rosa Iglesias Picazo,

Abstract
A 28-year-old man diagnosed with Charge syndrome and no history of NSAIDs ingestion was referred due to the presentation in the previous 24 h of melenic stools with a negative upper endoscopy. Physical examination was unremarkable, although laboratory tests showed anemia. On the second day, significant painless rectal bleeding and the decrease of hematocrit levels responding to blood transfusion were observed, so colonoscopy was recommended but completely rejected by the patient. Therefore, capsule endoscopy was performed, identifying a saccular image in the terminal ileum suggestive of a Meckel’s diverticulum.
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References
1. Zuckerman GR, Prakash C. Acute lower intestinal bleeding: part I:clinical presentation and diagnosis. Gastrointest Endosc 1998; 48:606-17.
2. Ríos A, Montoya MJ, Rodríguez JM, et al. Acute lower gastrointestinal hemorrhage originating in the small intestine. Rev Esp Enferm Dig. 2006; 98:196-203.
3. Krstic SN, Martinov JB, Sokic-Milutinovic AD, et al. Capsule endoscopy is useful diagnostic tool for diagnosing Meckel's diverticulum. Eur J Gastroenterol Hepatol. 2016; 28:702-7.
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Juanmartiñena Fernández J, Fernández-Urién Sainz I, Saldaña Dueñas C, Iglesias Picazo R. Meckel´s diverticulum bleeding detected by capsule endoscopy. 4618/2016


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Publication history

Received: 13/09/2016

Accepted: 16/09/2016

Published: 31/03/2017

Article editing time: 199 days


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