Capsule endoscopic detection of bleeding Meckel’s diverticulum, with capsule retention in the diverticulum

Abstract

A 20-year-old man was admitted to hospital with episodes of passing painless bloody stools and syncope. When he arrived, he was in a state of shock with severe dehydration. Laboratory data showed a hemoglobin (Hb) level of 8.6 g/dL. Esophagogastroduodenoscopy and colonoscopy did not show the cause of bleeding. Capsule endoscopy (PillCam SB 2; Given Imaging, Yoqneam, Israel) was then carried out. The video sequence showed a stenotic structure of the lower ileum and shallow ulcers with oozing on the edge of the stenosis ( " Fig. Gradually, the area around the capsule filled with blood, and the capsule stayed in exactly the same position for the last 3.5 hours of the battery's life. To confirm the diagnosis and collect the capsule, enteroscopy with a double-balloon enteroscope (EN-450P5/20; Fujinon, Saitama, Japan) was performed under fluoroscopic guidance via the anal route 1 day after capsule endoscopy. A large diverticulum, in which there was a shallow ulcer and with stenosis in the middle, was found about 60 cm proximal to the ileocecal valve ( " Fig.