Ogino H, Ochiai T, Nakamura N, Yoshimura D, Kabemura T, Kusumoto T, Matsuura H, Nakashima A, Honda K, Nakamura K. Duplication cyst of the small intestine found by double-balloon endoscopy: A case report. World J Gastroenterol 2008; 14(24): 3924-3926 [PMID: 18609722 DOI: 10.3748/wjg.14.3924]
Corresponding Author of This Article
Kazuhiko Nakamura, Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Higashi-ku Maidashi 3-1-1, Fukuoka-shi, Fukuoka-ken 812-0054, Japan. knakamur@intmed3.med.kyushu-u.ac.jp
Article-Type of This Article
Case Report
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Ogino H, Ochiai T, Nakamura N, Yoshimura D, Kabemura T, Kusumoto T, Matsuura H, Nakashima A, Honda K, Nakamura K. Duplication cyst of the small intestine found by double-balloon endoscopy: A case report. World J Gastroenterol 2008; 14(24): 3924-3926 [PMID: 18609722 DOI: 10.3748/wjg.14.3924]
Haruei Ogino, Toshiaki Ochiai, Norimoto Nakamura, Daisuke Yoshimura, Teppei Kabemura, Department of Internal Medicine, Saiseikai Fukuoka General Hospital, Higashi-ku Maidashi 3-1-1, Fukuoka-shi, Fukuoka-ken 812-0054, Japan
Tetsuya Kusumoto, Hiroshi Matsuura, Department of Surgery, Saiseikai Fukuoka General Hospital, Higashi-ku Maidashi 3-1-1, Fukuoka-shi, Fukuoka-ken 812-0054, Japan
Akihiko Nakashima, Department of Pathology, Saiseikai Fukuoka General Hospital, Higashi-ku Maidashi 3-1-1, Fukuoka-shi, Fukuoka-ken 812-0054, Japan
Kuniomi Honda, Kazuhiko Nakamura, Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Higashi-ku Maidashi 3-1-1, Fukuoka-shi, Fukuoka-ken 812-0054, Japan
Author contributions: Ogino H and Ochiai T contributed equally to this work; Kusumoto T and Matsuura H performed the surgical operation; Honda K performed the double-ballon endoscopy; Nakashima A did the pathological evaluation; Ogino H and Nakamura K wrote the paper.
Correspondence to: Kazuhiko Nakamura, Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Higashi-ku Maidashi 3-1-1, Fukuoka-shi, Fukuoka-ken 812-0054, Japan. knakamur@intmed3.med.kyushu-u.ac.jp
Telephone: +81-92-6425286
Fax: +81-92-642-5287
Received: February 27, 2008 Revised: May 30, 2008 Accepted: June 6, 2008 Published online: June 28, 2008
Abstract
A 35-year-old man was admitted due to bloody stool and anemia. The bleeding source could not be detected by esophagogastroduodenoscopy or colonoscopy. Double balloon endoscopy (DBE) revealed a diverticulum-like hole in which coagula stuck in the ileum at 1 meter on the oral side from the ileocecal valve. The adjacent mucosa just to the oral side of the hole was elevated like a submucosal tumor. The lesion was considered the source of bleeding and removed surgically. It was determined to be a cyst with an ileal structure on the mesenteric aspect accompanying gastric mucosa. The diagnosis was a duplication cyst of the ileum, which is a rare entity that can cause gastrointestinal bleeding. In the present case, DBE was used to find the hemorrhagic duplication cyst in the ileum.
