Clinical Features of Symptomatic Meckel's Diverticulum in Children: Comparison of Scintigraphic and Non-scintigraphic Diagnosis.
10.5223/pghn.2013.16.1.41
- Author:
Jung Hee RHO
1
;
Jae Sook KIM
;
Sang Yong KIM
;
Soon Ki KIM
;
Yoon Mi CHOI
;
Sung Min KIM
;
Hann TCHAH
;
In Sang JEON
;
Dong Woo SON
;
Eell RYOO
;
Kang Ho CHO
;
Deok Young CHOI
;
Yoon Mi KIM
Author Information
1. Department of Pediatrics, Gachon University Gil Medical Center, Incheon, Korea. onecar@gilhospital.com
- Publication Type:Original Article
- Keywords:
Meckel's diverticulum;
Scintigraphy;
Meckel's scan;
Diagnosis;
Child;
Radionuclide imaging
- MeSH:
Abdominal Pain;
Anemia;
Child;
Erythrocytes;
Female;
Hemorrhage;
Humans;
Ileocecal Valve;
Korea;
Male;
Meckel Diverticulum;
Retrospective Studies
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2013;16(1):41-48
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Meckel's diverticulum (MD) has various clinical manifestations, and diagnosis or selectection of proper diagnostic tools is not easy. This study was conducted in order to assess the clinical differences of MD diagnosed by scintigraphic and non-scintigraphic methods and to find the proper diagnostic tools. METHODS: We conducted a retrospective review ofthe clinical, surgical, radiologic, and pathologic findings of 34 children with symptomatic MD, who were admitted to Gachon University Gil Medical Center, Inha University Hospital, and The Catholic University of Korea, Incheon St. Mary's Hospital between January 2000 and December 2012. The patients were evaluated according to scintigraphic (12 cases; group 1) and non-scintigraphic (22 cases; group 2) diagnosis. RESULTS: The male to female ratio was 7.5 : 1. The most frequent chief complaint was lower gastrointestinal (GI) bleeding in group 1 and nonspecific abdominal pain in group 2, respectively. The most frequent pre-operative diagnosis was MD in both groups. Red blood cell (RBC) index was significantly lower in group 1. MD was located at 7 cm to 85 cm from the ileocecal valve. Four patients in group 1 had ectopic gastric tissues causing lower GI bleeding. The most frequent treatment modality was diverticulectomy in group 1 and ileal resection in group 2, respectively. CONCLUSION: To diagnose MD might be delayed unless proper diagnostic tools are considered. It is important to understand indications of scintigraphic and non-scintigraphic methods according to clinical and hematologic features of MD. Scintigraphy would be weighed in patients with anemia as well as GI symptoms.
