Inverted Meckel’s diverticulum in an adult patient diagnosed via capsule endoscopy

Abstract

Meckel's diverticulum is present in 2% of the general population and its inverted presentation is rare. The most frequent complications are gastrointestinal hemorrhage, obstruction, intussusception and perforation. In general, these complications occur in the first two decades of life, and mostly before the fourth decade. We present a case of inverted MD that started as a digestive hemorrhage of obscure origin in a 77-year-old man who was diagnosed by endoscopic capsule.

Inverted Meckel’s diverticulum: a case report

“…A CT scan not only helps the treating physician(s) to confirm the diagnosis, but also helps to determine the condition of the bowel wall in intussusception along with any other concomitant pathology [ 8 ]. Capsule endoscopy can also facilitate the diagnosis, but is associated with limitations in identifying the exact location of the intestinal pathology and increased risk of intestinal obstruction [ 9 ]. Double balloon enteroscopy is also being increasingly used for the diagnosis as it enables biopsy of the intestine but it is a technically demanding methodology [ 10 , 11 ].…”

Inverted Meckel’s diverticulum: Two case reports and a review of the literature

“…Although capsule endoscopy can help confirm small bowel bleeding, as in Case 2, routine use of this device for diagnosing small bowel bleeding must be done with caution. This caution is necessary not only due to low video quality and its limitations regarding exact location of the intestinal pathology[ 10 ], but also because of the increased risk of intestinal obstruction. On the other hand, CT scans are much more beneficial for the identification of small bowel pathology and differentiation of diverse diseases, including lipomas, inflammatory fibroid polyps, vascular malformations, lymphomas, inverted diverticula and malignant tumors.…”