Park Sun Min, Chun Hoon Jai, Jeen Yoon Tae, Yoon Ik, Kim Ju Young, Kim Chul Young, Kim Jeong Han, Lee Ji Yeon, Choung Rok Son, Kim Yong Sik, Lee Hong Sik, Lee Sang Woo, Um Soon Ho, Choi Jai Hyun, Kim Chang Duk, Ryu Ho Sang, Hyun Jin Hai
Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2004 Feb;43(2):125-8.
Meckel's diverticulum is an embryonic derivative of the omphalomesenteric duct and the most commonly encountered congenital anomaly of the gastrointestinal tract. Its incidence records about 2%. Among them, only 5% are symptomatic with complications-bleeding, intestinal obstruction, inflammation, and perforation. In particular, bleeding is a common complication and has always been caused by an ulceration of the ileal mucosa adjacent to the acid-producing ectopic mucosa in a Meckel's diverticulum. Wireless capsule endoscopy is a new method enabling non-invasive diagnostic endoscopy of the entire small intestine. We experienced a case of Meckel's diverticulum detected by wireless capsule endoscopy in a 34 year-old man who presented with chronic obscure gastrointestinal bleeding.
梅克尔憩室是卵黄管的胚胎衍生物，也是胃肠道最常见的先天性异常。其发病率约为2%。其中，仅有5%会出现诸如出血、肠梗阻、炎症和穿孔等并发症的症状。特别是，出血是一种常见并发症，一直是由梅克尔憩室内产酸异位黏膜附近的回肠黏膜溃疡所致。无线胶囊内镜是一种能够对整个小肠进行非侵入性诊断性内镜检查的新方法。我们遇到一例通过无线胶囊内镜检查发现梅克尔憩室的病例，患者为一名34岁男性，表现为慢性隐匿性胃肠道出血。
