A Meckel’s diverticulum with an ileal ulcer detected with double-balloon enteroscopy

Endoscopy_UCTN_Code_CCL_1AC_2AD

Figure 1 A 34-year-old man with iron-deficiency anemia was referred to hospital due to an ileal lesion (arrow) that had been detected on barium-meal radiography. Previous upper and lower gastrointestinal endoscopy examinations had not identified a bleeding site.

Figure 2 He underwent a peranal double-balloon enteroscopy (DBE) examination with a Fujinon EN-450P5/20 scope (Fujinon-Toshiba Inc., Tokyo, Japan). DBE revealed a diverticulum (arrow) and an ileal ulcer.

Figure 3 a At laparoscopy, the diverticulum found at 80 cm from the ileocecal valve on the antimesenteric side of the ileum (arrow) was surgically resected. b The macroscopic view of the specimen shows a Meckel’s diverticulum 3 × 2 cm in size (arrows), accompanied by an ileal ulcer (arrowheads). The histological assessment did not identify any ectopic tissue inside the diverticulum. After the operation, the patient’s anemia improved.