@article{oai:nagasaki-u.repo.nii.ac.jp:00018971, author = {Matsushima, Kayoko and Isomoto, Hajime and Sawai, Terumitsu and Yajima, Hiroyuki and Yamaguchi, Naoyuki and Ohnita, Ken and Shikuwa, Saburo and Mizuta, Yohei and Hayashi, Tomayoshi and Kohno, Shigeru}, issue = {2}, journal = {Acta medica Nagasakiensia}, month = {Sep}, note = {Background : Meckel's diverticulum is a congenital anomaly of the gastrointestinal tract and is situated 40-130 cm from the ileocecal junction. Thus, it is difficult to detect endoscopically prior to surgery. However, double-balloon enteroscopy (DBE) enables the entire small intestine to be examined.Case Report : A 29-year-old man presented with a 4-day history of melena without abdominal pain. Upper gastrointestinal endoscopy, colonoscopy, abdominal contrast-enhanced computed tomography, radiolabeled red cell scintigraphy, and technetium(Tc) 99m pertechnetate scintigraphy did not detect the source of bleeding. However, on retrograde DBE, a Meckel's diverticulum, which had a small ulcer, was found in the distal part of the ileum. The diverticulum was resected laparoscopically. The patient's postoperative course was uneventful; the patient continues to be in complete remission.Conclusions : This is the case of the Meckel's diverticulum that was preoperatively diagnosed using DBE., Acta medica Nagasakiensia, 53(2), pp.47-49 ; 2007}, pages = {47--49}, title = {Meckel's Diverticulum Diagnosed on Double-balloon Enteroscopy}, volume = {53}, year = {2008} }