El Hajra Martínez I, Calvo M, Martínez-Porras JL, Gomez-Pimpollo Garcia L, Rodriguez JL, Leon C, Calleja Panero JL. Inverted Meckel’s diverticulum diagnosed using capsule endoscopy: A case report. World J Gastroenterol 2021; 27(36): 6154-6160 [PMID: 34629826 DOI: 10.3748/wjg.v27.i36.6154]
Corresponding Author of This Article
Marta Calvo, PhD, Doctor, Department of Gastroenterology, Hospital Universitario Puerta de Hierro, Calle Joaquín Rodrigo, 1, Majadahonda, Madrid 28222, Spain. calvo.marta@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Sep 28, 2021; 27(36): 6154-6160 Published online Sep 28, 2021. doi: 10.3748/wjg.v27.i36.6154
Inverted Meckel’s diverticulum diagnosed using capsule endoscopy: A case report
Ismael El Hajra Martínez, Marta Calvo, José Luis Martínez-Porras, Lucia Gomez-Pimpollo Garcia, Jose L Rodriguez, Carmen Leon, José Luis Calleja Panero
Ismael El Hajra Martínez, Marta Calvo, José Luis Martínez-Porras, Department of Gastroenterology, Hospital Universitario Puerta de Hierro, Madrid 28222, Spain
Lucia Gomez-Pimpollo Garcia, Department of Radiology, Hospital Universitario Puerta de Hierro, Madrid 28222, Spain
Jose L Rodriguez, Department of Diagnostic Pathology, Hospital Universitario Puerta de Hierro, Madrid 28222, Spain
Carmen Leon, Department of Surgery, Hospital Universitario Puerta de Hierro, Madrid 28222, Spain
José Luis Calleja Panero, Department of Gastroenterology, Hospital Universitario Puerta de Hierro, Madrid 28222, Spain
Author contributions: El Hajra Martínez I and Calvo M contributed to the manuscript design and drafting, and reviewed the literature; Martínez-Porras JL performed capsule endoscopy, and interpretation and revision of the manuscript; Gomez-Pimpollo Garcia L contributed to analysis and interpretation of the imaging findings, and revision of the manuscript; Rodriguez JL contributed to pathological examination and revision of the manuscript; Leon C performed laparoscopic surgery and manuscript drafting; Calleja Panero JL and Calvo M were responsible for revision of the manuscript for important intellectual content; All authors issued final approval for the version to be submitted.
Informed consent statement: The patient provided informed written consent prior to treatment.
Conflict-of-interest statement: The authors declare having no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Marta Calvo, PhD, Doctor, Department of Gastroenterology, Hospital Universitario Puerta de Hierro, Calle Joaquín Rodrigo, 1, Majadahonda, Madrid 28222, Spain. calvo.marta@gmail.com
Received: February 25, 2021 Peer-review started: February 25, 2021 First decision: April 29, 2021 Revised: May 13, 2021 Accepted: August 16, 2021 Article in press: August 16, 2021 Published online: September 28, 2021 Processing time: 183 Days and 14.5 Hours
Abstract
BACKGROUND
Meckel’s diverticulum is a common asymptomatic congenital gastrointestinal anomaly. However, its presentation as an inverted Meckel's diverticulum is a rare complication, of which few cases have been reported in the literature.
CASE SUMMARY
Here, we report the case of a 33-year-old man with iron deficiency anemia without manifestation of gastrointestinal bleeding. An upper gastrointestinal endoscopy and total colonoscopy were performed, but no abnormalities were found within the observed area. Finally, a capsule endoscopy was performed and offered us a clue to subsequently confirm the diagnosis of inverted Meckel's diverticulum via computed tomography scan. Laparoscopic intestinal resection surgery was performed. The final pathology report described a Meckel’s diverticulum.
CONCLUSION
Since inverted Meckel's diverticulum is an uncommon disease and its clinical presentation is not specific, it may go undetected by capsule endoscopy. Successful diagnosis and treatment of this disease requires a high index of clinical suspicion.
Core Tip: Inverted Meckel’s diverticulum is an uncommon disease with a wide spectrum of accompanying nonspecific symptoms. We present, here, a case of iron deficiency anemia with negative endoscopic study, in which capsule endoscopy played a key role in confirming the diagnosis. Since inverted Meckel's diverticulum is an uncommon disease with few cases described in the literature, this report aims to contribute more information concerning the clinical characteristics as well as radiological and capsule endoscopy findings of inverted Meckel’s diverticulum that can help clinicians make the correct diagnosis.
