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Bleeding Meckel's Diverticulum with Ectopic Gastric Mucosa and Ulcer Diagnosed by Double Contrast X-ray Examination of the Small Intestine, Report of a Case Ikuro Koba 1 1Department of Diagnostic Radiology, National Cancer Center Hospital Keyword: Meckel憩室 , 下血 , 小腸二重造影 , 異所性胃粘膜 pp.837-840
Published Date 1992/7/25
DOI https://doi.org/10.11477/mf.1403109921
  • Abstract
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 A 34-year-old male visited another hospital with a complaint of melena. Gasrtrofiberscopy and barium enema were performed, but the source of gastrointestinal bleeding was not discovered. Then he visited our hospital twice. At first we could not find the source of bleeding by barium enema. At the second time x-ray examination of the small intestine was performed, a revealing a diverticulum with gastric area pattern and ulcer. We diagnosed it as Meckel's diverticulum.

 Wedge resection of Meckel's diverticulum was performed, and macroscopically the resected material showed granular mucosa and ulcer. Microscopically it proved to be a true diverticulum, and consisted of ectopic gastric mucosa and ileum mucosa. Fibrosis due to ulcer had reached to the proper muscle layer.

 We thus diagnosed a bleeding Meckel's diverticulum with ectopic gastric mucosa and ulcer by double contrast radiograph of the small intestine.


Copyright © 1992, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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