Luminal duplication wireless capsule endoscopy detection of Meckel's diverticulum
Journal | Volume 80 - 2017 |
Issue | Fasc.4 - Clinical images |
Author(s) | M. Silva, H. Cardoso, S. Lopes, A. Peixoto, S. Gomes, M. Sá Fernandes, J. Costa, G. Macedo |
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Departments of (1) Gastroenterology, (2) Emergency and (3) Pathology, Centro Hospitalar de São JoãO. Porto Medical School, PortO. Portugal. |
An 18-year-old man presented with dizziness and melena. He had no relevant past medical history. Laboratory workup was relevant for a hemoglobin of 7.1 g/dL. Two red blood cell transfusions were administered and, subsequently, an upper endoscopy and ileocolonoscopy were performed, which showed no lesions nor active bleeding. Abdominal computer tomography scan also did not reveal suspicious lesions. Due to hemodynamic instability, an urgent abdominal angiography was performed, again without identifying the source of bleeding. Video capsule endoscopy (VCE) was performed and revealed the findings shown on Fig. 1. The patient was submitted to an enterectomy (Fig. 2) and the histological exam of the surgical specimen is shown on Fig. 3. |
© Acta Gastro-Enterologica Belgica. PMID 29560660 |