Computed tomography findings in an inflamed meckel diverticulum.

Hughes, Jacqueline; Hatrick, Andrew; Rankin, Stephen

doi:10.1259/bjr.71.848.9828803

Cited by 27 publications

(15 citation statements)

References 6 publications

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“…3) or as an inflammatory mass (Fig. 4) in contact with the terminal ileum [20, 21]. An air-fluid collection, with nonenhancing walls, in direct contact with the terminal ileum is highly suggestive of a necrotic Meckel’s diverticulum (Fig.…”

Section: Image Reviewmentioning

confidence: 99%

Computed tomography of complicated Meckel’s diverticulum in adults: a pictorial review

et al. 2010

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ObjectiveTo show various CT aspects of complicated Meckel’s diverticulum in adult patients to facilitate the preoperative diagnosis of this rare pathology in emergency settings.MethodsA computer search of medical records over a 15 year period identified 23 adult patients who underwent surgery for acute abdomen generated by a complicated Meckel’s diverticulum. CT images available for review were analyzed, and some specific patterns leading to the diagnosis of complicated Meckel’s diverticulum are presented in this review.ResultsComplications were related to inflammation (14 patients), bleeding (5 patients), intestinal obstruction (3 patients), and penetrating foreign body (1 patient). The presence of a Meckel’s diverticulum was usually suggested at CT scan by an abnormal outpouching, blind-ending digestive structure connected to the terminal ileum by a neck of variable caliber. Depending on the type of complications, the diverticulum was surrounded by mesenteric inflammatory changes, or presented as a localized fluid or air-fluid collection contiguous with the terminal ileum. The diverticulum was also the source of active bleeding or acted as the lead point to intestinal obstruction or intussusception.ConclusionCT findings of complicated Meckel’s diverticulum are polymorphic and should be considered in the evaluation of adult patients with acute abdomen.

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Section: Image Reviewmentioning

confidence: 99%

Computed tomography of complicated Meckel’s diverticulum in adults: a pictorial review

et al. 2010

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“…An invaginated Meckel's diverticulum, especially if it is associated with an intussusception, appears as an intraluminal mass composed of a central lesion with the attenuation of fat (representing the entrapped mesenteric fat of the inverted diverticulum) surrounded by a collar of soft tissue attenuation [8].…”

Section: Discussionmentioning

confidence: 99%

A Rare Internal Herniation in Adult: Meckel’s Diverticulum

et al. 2012

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Intestinal obstruction due to Meckel's diverticulum is the most common presentation in adults. There are various mechanisms by which it can cause intestinal obstruction such as volvulus of small intestine around a fibrous band extending from Meckel's diverticulum to umbilicus, intussusception, and Littre's hernia. We report the case of a young adult operated on emergency for acute intestinal obstruction. The CT scan suggested a nonspecific internal herniation. Surgical exploration confirmed a rare type of obstruction due to Meckel's diverticulum.

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“…It occurs in about 2% subjects measuring about improved by administering a combination of pentagastrin and glucagon thereby leading to an increased uptake of the isotope and cease peristalsis in the patient simultaneously (Hughes et al, 1998). Superior mesenteric angiography may be helpful in patients presenting with acute gastrointestinal bleeding and is effective when blood loss exceeds 0.5 mL/ min.…”

Section: Discussionmentioning

confidence: 99%

In an Ileal Diverticulum (Meckel's Diverticulum) - Gastric Perforation: Report of a Fatal Case

Moorthy

Rekha

2010

Int. J. Morphol.

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SUMMARY:The ileal diverticulum (Meckel's diverticulum) is a congenital outpouching located in the distal ileum which occurs due to the failure of obliteration of the yolk stalk. The peak age in which this anomaly is mostly found is the pediatric age especially below the age of two. Hence it is noted as an uncommon cause of intestinal obstruction and fatality in adult life. We present a case of a 26 year old man with abdominal pain and vomiting for 6 days associated fever for 3 days. Emergency laparotomy revealed ileal diverticulitis with small bowel obstruction. Ileal diverculectomy with ileal resection and ileoileal anastamosis was performed. However, the patient developed renal dysfunction leading to Multiorgan Dysfunction Syndrome and died on the fourth post operative day. This anatomic anomaly is rare in adult patients and is difficult to diagnose early due to its bizarre presentation resulting in high mortality in them. Hence we find this case of interest.

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Computed tomography findings in an inflamed meckel diverticulum.

Cited by 27 publications

References 6 publications

Computed tomography of complicated Meckel’s diverticulum in adults: a pictorial review

Computed tomography of complicated Meckel’s diverticulum in adults: a pictorial review

A Rare Internal Herniation in Adult: Meckel’s Diverticulum

In an Ileal Diverticulum (Meckel's Diverticulum) - Gastric Perforation: Report of a Fatal Case

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