Clinics in diagnostic imaging (162). Meckel's diverticulum.

Author: Dinesh R SINGH ¹ ; Geoiphy G PULICKAL ¹ ; Zhiwen J LO ² ; Wilfred C G PEH ¹
Author Information

1. Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore.
2. Department of General Surgery, Khoo Teck Puat Hospital, Singapore.
Publication Type:Case Reports
Keywords: Meckel’s diverticulum; acute abdomen; diverticulitis; gastrointestinal bleeding
MeSH: Abdominal Pain; Adult; Female; Gastrointestinal Hemorrhage; diagnosis; diagnostic imaging; Humans; Ileum; diagnostic imaging; Male; Meckel Diverticulum; diagnosis; diagnostic imaging; Radionuclide Imaging; Radiopharmaceuticals; Sodium Pertechnetate Tc 99m; Tomography, X-Ray Computed
From:Singapore medical journal 2015;56(9):523-quiz 527
CountrySingapore
Language:English
Abstract: A 28-year-old Chinese man presented with acute bleeding per rectum. Computed tomography showed a posterior outpouching arising from the distal ileum. The outpouching had hyperaemic walls, but no active contrast extravasation was detected. Technetium-99m pertechnetate scintigraphy showed focal areas of abnormal uptake in the right side of the pelvis, superior and posterior to the urinary bladder. These areas of uptake appeared simultaneously with the gastric uptake and demonstrated gradual increase in intensity on subsequent images. The diagnosis of Meckel's diverticulum was confirmed on surgery and the lesion was resected. The clinical and imaging features of Meckel's diverticulum are discussed.