Meckel diverticulum scintigraphy: technique, findings and diagnostic pitfalls

Aboughalia, Hassan; Cheeney, Safia; Elojeimy, Saeed; Blacklock, Lisa C.; Parisi, Marguerite T.

doi:10.1007/s00247-022-05527-z

Cited by 8 publications

(2 citation statements)

References 28 publications

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“… 13 In adults, however, its diagnostic accuracy is lower (20%–60%). 14 Advanced endoscopic modalities, like capsule endoscopy and device‐assisted enteroscopy, offer valuable insights, particularly in cases of suspected small bowel bleeding. 15 , 16 Mesenteric angiography is a potentially significant diagnostic tool, particularly when other imaging studies fail to diagnose MD, aiding in the diagnosis through visualization of the vitelline artery.…”

Section: Discussionmentioning

confidence: 99%

Perforation of Meckel's diverticulum by an unusual foreign body: A case report and a review of literature

Milla Salguero,

Medina,

Hause Murillo

et al. 2024

Clinical Case Reports

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Key Clinical MessagePerforation of Meckel's diverticulum (MD) is rare, particularly by foreign body. High index of suspicion and thorough intraoperative assessment is needed in patients undergoing surgery for acute appendicitis, specifically when appendix appears normal.AbstractMeckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract. While often asymptomatic, it can present with several complications. Perforation due to foreign body ingestion is rare but can have severe consequences if late diagnosis occurs. A 13‐year‐old male, initially suspected of acute appendicitis, was eventually diagnosed with perforation of MD by a wood splinter‐like foreign body after intraoperative assessment. Histological analysis revealed ectopic colonic tissue within the MD, a finding whose implications are not well understood, in contrast with the well‐established complications associated with ectopic gastric and pancreatic tissues. This case highlights the diagnostic challenges of MD, which can mimic acute appendicitis, emphasizing the need for high suspicion when faced with atypical clinical presentation such as foreign body‐induced perforation. Although surgical resection of asymptomatic MD remains controversial, we recommend a case‐specific approach based on risk factors to guide decision‐making on surgical resection for asymptomatic MD.

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Section: Discussionmentioning

confidence: 99%

Perforation of Meckel's diverticulum by an unusual foreign body: A case report and a review of literature

Milla Salguero,

Medina,

Hause Murillo

et al. 2024

Clinical Case Reports

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“…Results are reported as the percentage retained at 1, 2, 3, or 4 hours. (15) In the assessment of GI pathologies, scintigraphy can also be utilized in the diagnosis of Meckel's diverticulum, (16) to identify the source of GI bleeding, (17,18) and through cholescintigraphy, (19) to assess integrity and patency of the biliary system.…”

Section: Scintigraphymentioning

confidence: 99%

Pan-enteric imaging of the gastrointestinal tract: A magnetic resonance study

Bertoli

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Meckel's diverticulum: A challenging diagnosis

Kaihlanen,

Phen,

Sengupta

et al. 2024

JPGN rep.

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ObjectivesThis single‐center, cross‐sectional study aims to elucidate the clinical presentation, diagnostic evaluation, and outcomes in a subset of pediatric patients with atypical and/or challenging presentations of Meckel's diverticulum.MethodsWe conducted a single‐center cross‐sectional study on children diagnosed with Meckel's diverticulum at Children's Health in Dallas, Texas between 2010 and 2022. We identified 11 patients aged 0–17‐years‐old with confirmed Meckel's diverticulum who presented with atypical symptoms and/or a challenging diagnostic course. Patient demographics, symptoms at presentation, diagnostic workup, time to diagnosis, management, and outcomes were collected. Descriptive statistics were utilized.ResultsEleven patients (n = 8, 73% male) were included in the study with an average age of 10.5 years (range: 1–17 years). The mean time interval from initial presentation of symptoms to diagnosis was 8 months (range: 0–33 months). Barriers to diagnosis of Meckel's diverticulum identified in our study included atypical presentations, negative or nonconfirmatory Meckel scan results, negative surgical findings, and competing differential diagnoses.ConclusionMeckel's diverticulum is a challenging diagnosis and should be considered even if initial evaluation is negative as certain patients exhibit atypical presentations that necessitate surgical intervention for diagnosis.

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Meckel diverticulum scintigraphy: technique, findings and diagnostic pitfalls

Cited by 8 publications

References 28 publications

Perforation of Meckel's diverticulum by an unusual foreign body: A case report and a review of literature

Perforation of Meckel's diverticulum by an unusual foreign body: A case report and a review of literature

Pan-enteric imaging of the gastrointestinal tract: A magnetic resonance study

Meckel's diverticulum: A challenging diagnosis

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