Acute Meckel's diverticulitis: Diagnosis by ultrasonography

Larson, James M.; Ellinger, D; Zdybel, Paul J.; Peirce, John C.

doi:10.1002/jcu.1870170914

Cited by 8 publications

(4 citation statements)

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“…The number of cases of sonographically evaluated inflamed Meckel diverticula that are being reported in the literature is increasing. [3][4][5][6][7] Several case reports have stated that an inflamed Meckel diverticulum may present as a blind-ended and a cystlike or a tubular structure with a gut signature on sonography; that is, it has an inner hyperechoic surface that corresponds to the mucosa and an external hypoechoic rim that corresponds to the muscle layer. 3,4 These findings are in agreement with those of our study.…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, several reports have described the usefulness of sonography in detecting a complicated Meckel diverticulum. [3][4][5][6][7] Here, we report a case of gangrenous Meckel diverticulitis with perforation; this condition was detected preoperatively by gray scale and contrast-enhanced sonography. The latter, in particular, was useful for evaluating the viability of the wall of the Meckel diverticulum in our case.…”

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confidence: 91%

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Contrast-Enhanced Sonographic Findings of Gangrenous Meckel Diverticulitis

Hamada

Tanaka

Hashimoto

et al. 2006

Journal of Ultrasound in Medicine

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 91%

Contrast-Enhanced Sonographic Findings of Gangrenous Meckel Diverticulitis

Hamada

Tanaka

Hashimoto

et al. 2006

Journal of Ultrasound in Medicine

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“…2). Die typische sonographische Dreischichtung (Mukosa, Submukosa, Muscularis propia) der Darmwand war betont, wie es auch in der Literatur beschrieben wird [3,5,6]. In der Umgebung fand sich wenig lokale freie Flüssigkeit, welche zusammen mit der Ansammlung von freier Flüssigkeit im linken Unterbauch auf eine Perforation hinweisen kann.…”

Section: Kasuistikunclassified

Sonographische Diagnose der Meckel-Divertikulitis beim Erwachsenen

Wilhelm

Langer²,

Müller³

et al. 2001

Z Gastroenterol

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Meckel's diverticulitis is a rare disease. In addition to physical examination, abdominal ultrasound can help to pinpoint the diagnosis. By presenting a case report we would like to demonstrate the typical ultrasonographic findings in acute Meckel's diverticulitis and differentiate it from acute appendicitis. A 60-year-old patient was admitted to our hospital with the diagnosis of acute appendicitis. Abdominal ultrasound was performed and a blind ending, liquid-filled segment of small bowel in the right lower quadrant of the abdomen found. This segment was not compressible, no peristalsis was evident, nor was there any anatomical association with the cecum. Locally we found free fluid and hints of inflamed mesenteric fatty tissue. A perforated Meckel's diverticulum was diagnosed and confirmed intraoperatively. The major ultrasonographic difference between an inflamed Meckel's diverticulum and acute appendicitis is its anatomical location. In contrast to the appendix there is no association with the cecum. A diameter of up to 40 mm and a well-defined wall of small bowel with 3 definite layers visible by ultrasound may help to distinguish between a Meckel's diverticulum and the appendix.

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“…A growing number of cases of inflamed Meckel diverticulum detected by sonography have been reported, [3][4][5][6][7][8] which shows the usefulness of this technique in the diagnosis of this complication. One of these studies described specific findings of 9 cases of inflamed Meckel diverticulum.…”

mentioning

confidence: 99%