Case 19: Enteroliths in a Meckel Diverticulum

Es, Hurwitt; Sybrandy, R

doi:10.1148/radiology.214.2.r00fe39524

Cited by 19 publications

References 12 publications

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Child With Abdominal Pain and a Cystic Pelvic Mass

2015

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A 5-year-old boy with a 1-year history of intermittent abdominal pain presented to the emergency department with 2 days of nausea, nonbilious emesis, and diffuse abdominal pain. He was afebrile and had normal vital signs. Physical examination findings were notable for mild abdominal distension and tenderness without guarding or rebound sign. Abdominal ultrasonography revealed a normal appendix. Abdominal radiography ( Figure 1A) revealed multiple polygonal calcified lesions in the pelvis and a nonobstructive bowel gas pattern. Computed tomography ( Figure 1B) revealed a 5.6 × 5.3 × 4.6-cm midline cystic pelvic mass adjacent to the anterior rectal wall that contained several irregularly shaped ossifications. Laboratory study results were significant for normal levels of α-fetoprotein and chorionic gonadotropin and a white blood cell count of 19 700/μL (reference range, 5500-15 500/ μL; to convert to ×10 9 /L, multiply by 0.001). The patient was taken to the operating room for an exploratory laparotomy.

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Child With Abdominal Pain and a Cystic Pelvic Mass

2015

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CT diagnosis of Meckel diverticulum in a paracolic internal hernia

et al. 2004

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The autopsy incidence of internal hernia has been reported to be between 0.2% and 0.9%, and these hernias are usually diagnosed on imaging due to their complications or at surgery. Meckel diverticulum is the most common congenital anomaly of the gastrointestinal tract, occurring in 1% to 3% of the population according to autopsy studies. The condition also is usually diagnosed at surgery, by barium studies or scintigraphy, or on cross-sectional imaging due to complications. We present an unusual case of a large Meckel diverticulum in a right paracolic hernia diagnosed on multidetector computed tomography. This diagnosis was made after attacks of subacute intestinal obstruction with the aid of multiplanar reconstructions. This case emphasizes the role of multidetector computed tomography and postprocessing techniques such as multiplanar reconstruction in the diagnosis of bowel pathology.

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Case 158

Mar¹,

Miller²

2010

The Teaching Files: Gastrointestinal

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Case 19: Enteroliths in a Meckel Diverticulum

Cited by 19 publications

References 12 publications

Child With Abdominal Pain and a Cystic Pelvic Mass

Child With Abdominal Pain and a Cystic Pelvic Mass

CT diagnosis of Meckel diverticulum in a paracolic internal hernia

Case 158

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