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A case of ileal duplication which was diagnosed and operated with laparoscopy Shinpei OGINO 1 , Yasutoshi MURAYAMA 1 , Tomohiro ARITA 1 , Yoshiaki KURIU 1 , Masayoshi NAKANISHI 1 , Eigo OTSUJI 1 1Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine Keyword: 回腸重複腸管 , カプセル内視鏡 , 迷入 pp.469-475
Published Date 2016/7/15
DOI https://doi.org/10.11477/mf.4426200286
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 We herein report an extremely rare case of ileal duplication in which the endoscopic capsule was retained during endoscopy. A 22-year-old male visited a previous hospital with severe anemia in September 2013. Computed tomography, gastroscopic and colonoscopic examinations were performed, revealing no abnormal findings. His symptoms resolved with the administration of iron. In December 2013, he presented to our hospital with severe anemia associated with bloody stool and underwent a capsule endoscopy to investigate the possible existence of small bowel disease; however, the capsule became entrapped at a stenosis in the ileum. We made the diagnosis of the stenosis of the ileum by double-balloon enteroscopy. We subsequently performed a laparoscopy-assisted partial resection of the ileum in May 2014. A tubular communication duplication of the ileum containing the capsule was proximal to the stenosis in the ileal resection specimen. Crohn's disease was diagnosed based on the pathological examination of the stenotic lesion. It is considered important to perform a dummy capsule examination or radiological examinations prior to the actual capsule enteroscopy to eliminate the risk of capsule retention and keep the possibility of diverticulum or duplication of alimentary tract in mind when a capsule is entrapped. Furthermore, laparoscopic-assisted surgery is considered to be a useful method for those diagnosis and treatment.


Copyright © 2016, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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