[Adult ileal duplication diagnosis using combined capsule endoscopy and computed tomography enterography with amidotrizoic acid meglumine solution: a case report].

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Authors: Kaho Hamamoto, Shinichi Hashimoto, Yuko Yamaoka, Shunsuke Ito, Atsushi Goto, Koichi Hamabe, Jun Nishikawa, Hiroo Kawano, Taro Takami
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Abstract

A 67-year-old man with complaints of dark red stools was admitted to the hospital. Capsule endoscopy, computed tomography enterography (CTE) with amidotrizoic acid meglumine solution (AM), and transanal double-balloon enteroscopy revealed a diverticulum in the ileum, which was accompanied by an ulcer in the vicinity. A partial ileal resection was performed laparoscopically, and the intraoperative and pathological findings indicated that the patient had a duplicated intestinal tract. Intriguingly, we identified a few reports on preoperative diagnosis of ileal duplication;however, we experienced such a case wherein the combination of capsule endoscopy and CTE using AM aided in its diagnosis.

Fields of Study & Subjects

Gastrointestinal disorders and treatments Gastrointestinal Bleeding Diagnosis and Treatment Biliary and Gastrointestinal Fistulas

Publication details

Journal / source
PubMed
Volume
123
Issue
1
Pages
49–56
Publication date
1 January 2026
Language
JA