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Case Reports
. 2023 Sep 30;53(3):314-319.
doi: 10.52787/agl.v53i3.296. eCollection 2023 Jul-Sep.

[Videocapsule Endoscopy as a Diagnostic Tool for Meckel's Diverticulum in Pediatrics: a Case Report]

[Article in Spanish]
Ana María Acevedo Forero  1 , Adriana Prada-Rey  1 , Viviana Parra-Izquierdo  2 , Juan Sebastián Frías-Ordoñez  3 , Manuel Alonso Ardila Báez  4 , Cristian Florez-Sarmiento  5 , Jesús David Castillo  6
Affiliations
Case Reports

[Videocapsule Endoscopy as a Diagnostic Tool for Meckel's Diverticulum in Pediatrics: a Case Report]

[Article in Spanish]
Ana María Acevedo Forero et al. Acta Gastroenterol Latinoam. .

Abstract
in English, Spanish

Meckel's diverticulum is a common congenital anomaly of the small intestine caused by incomplete obliteration of the omphalomesenteric duct. Most patients are asymptomatic, and the diagnosis is usually made incidentally on imaging studies. The most common symptom is painless rectal bleeding; however, the presentation can be varied. There are different diagnostic tools for symptomatic, among which the most sensitive is Meckel's scan. However, direct visualization is the way to make an accurate diagnosis, which can be done through video capsule endoscopy, a useful tool to clarify the etiology of bleeding in the small intestine.

El divertículo de Meckel es una anomalía congénita común del intestino delgado causada por la falta de cierre completo del conducto onfalomesentérico. La mayoría de los pacientes no presentan síntomas y su diagnóstico se realiza de forma incidental en estudios de imágenes médicas. El síntoma más común es el sangrado rectal indoloro, pero puede presentarse de diferentes formas. Existen varias herramientas diagnósticas para el divertículo de Meckel sintomático, como la gammagrafía de Meckel, pero la forma más precisa de diagnosticarlo es a través de la visualización directa, como la videocápsula endoscópica, que es útil para determinar la causa de la hemorragia en el intestino delgado.

Keywords: Meckel's diverticulum; capsule endoscopies; child; diagnosis; gastrointestinal hemorrhage.

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Conflict of interest statement

Conflicto de interés. Los autores declaran no tener conflictos de interés en relación con este artículo.

Figures

Figura 1
Figura 1. Videocápsula endoscópica. Lesión ulcerada en íleon proximal, con mucosa edematizada y estimas de sangrado reciente, dando la impresión de imagen diverticular con episodios de protrusión de mucosa. Hallazgos sugestivos de DM
Figura 2
Figura 2. Divertículo de Meckel en el borde antimesentérico del íleon distal, a 50 cm de la válvula ileocecal
See this image and copyright information in PMC

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