Complications related to Meckel's diverticulum (MD): Perforation due to enteroscopy and bleeding

Abstract

Complications of Meckels diverticulum (MD) are rare and occur in about 4-6% of cases, more frequently in younger men. Most common complication is bleeding; less frequent are intussusception, perforation and intestinal obstruction. Detection of MD and its complications can be challenging, but the combination of video capsule endoscopy (VCE) and double - balloon endoscopy (DBE) allow more precise diagnosis and present a challenge for clinicians. We described two patients with complicated MD: one with perforated diverticulum after enteroscopy, and one with bleeding. Both patients were previously examined for obscure bleeding. Due to the limitation of conventional endoscopy, highly suspected MD is diagnosed with new and innovative methods, VCE and DBE. In the first case the diverticulum was with ectopic gastric tissue, in second case diverticulum was bleeding without ectopic mucosa. Surgical approach required resection method. We need to think about MD if we wish to diagnose and treat its complications.