Sonographic manifestation of an inflamed Meckel's diverticulum: a case report

Poelman, J.G.; Hüpscher, D N; Ritsema, G.H.

doi:10.1016/0720-048x(91)90132-f

Cited by 13 publications

(7 citation statements)

References 5 publications

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“…Meckel's diverticulitis can present with the ultrasound appearances of a non-compressible tubular structure, with a blind end and concentric layers. Meckel's diverticulitis can be mistaken for appendicitis, if continuity with the caecum is not investigated [67]. The target sign of MD is typically greater than that found in appen- dicitis.…”

Section: Meckel's Diverticulummentioning

confidence: 99%

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

et al. 2019

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Transabdominal gastrointestinal ultrasound (GIUS) is unique in its capacity to examine the bowel non-invasively and in its physiological condition, including extra-intestinal features such as the splanchnic vessels, mesentery, omentum and lymph nodes- even at the bedside. Despite this, and its extensive documentation for its usefulness, it has only been fully implemented in a few European countries and expert centres. Therefore, the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) established a GIUS Task Force Group in 2014 consisting of international experts from 9 European countries with the objectives to standardize and promote the use of GIUS in a clinical setting. This is achieved by publishing clinical guidelines and recommendations on indications and use of GIUS and so far,4 guidelines have been published: first on “examination techniques and normal findings”, second on “inflammatory bowel disease”, third on “acute appendicitis and diverticulitis” and fourth on “transrectal and perineal ultrasound”.This paper describes the ultrasound features of miscellaneous disorders such as celiac disease, cystic fibrosis, omental infarction, Meckel’s diverticle, endometriosis, intestinal neoplasia, mucocele, amyloidosis, GVHD, foreign bodies, vasculitis, and pneumatosis cystoides intestinalis. Bowel ultrasound can be indicated in most of these conditions to investigate intestinal symptoms but in other cases the alterations of the bowel can be also an incidental finding that suggest other examinations which finally help to discover an unknown pathological condition.

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Section: Meckel's Diverticulummentioning

confidence: 99%

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

et al. 2019

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“…Esses estudos podem ajudar a identificar pacientes com depleção de volume ou com complicações, como contagem elevada de leucócitos associada à perfuração intestinal, mas não ajudam a estabelecer um diagnóstico de divertículo de Meckel. Certas características clínicas em exames de imagem de rotina para avaliar obstrução intestinal podem sugerir um diagnóstico de divertículo de Meckel, mas esses achados geralmente são inespecíficos 10 .…”

Section: Desenvolvimentounclassified

Atualizações sobre o tratamento cirúrgico do divertículo de Meckel / Updates on surgical treatment of Meckel's diverticulum

Rocha¹,

Fagundes²,

Figueiredo³

et al. 2022

Braz. J. Hea. Rev.

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RESUMOO divertículo de Meckel é a anomalia congênita mais comum do trato gastrointestinaL, resulta da obliteração incompleta do ducto vitelino levando à formação de um verdadeiro divertículo do intestino delgado, quando sintomático, o divertículo de Meckel pode apresentar dor abdominal ou sintomas de sangramento gastrointestinal ou obstrução intestinal. Aproximadamente 2% dos pacientes desenvolvem uma complicação ao longo da vida, geralmente antes dos dois anos de idade. O divertículo de Meckel sintomático deve ser ressecado em todos os pacientes (crianças e adultos) para aliviar os sintomas, se um divertículo assintomático descoberto incidentalmente deve ser removido é controverso em crianças e adultos. Para crianças e adultos com divertículo de Meckel assintomático identificado em exames de imagem, sugerimos não realizar ressecção eletiva. Para pacientes com divertículo de Meckel de aparência normal identificado na exploração abdominal, utiliza-se uma abordagem seletiva que leva em consideração o estado clínico do paciente, seu risco ao longo da vida de complicações relacionadas a Meckel e características anatômicas associadas ao desenvolvimento de sintomas.

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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

“…Die pathologische Kokarde im sonographischen Querschnitt ist beiden Krankheitsbildern gemeinsam. Beim Meckelschen Divertikel kann aber die charakteristische Dreischichtung der Darmwand immer nachvollzogen werden [5,6]. Wenn möglich sollte der ¹normaleª Appendix zur sicheren Ausschlussdiagnose dargestellt werden.…”

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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Sonographic manifestation of an inflamed Meckel's diverticulum: a case report

Cited by 13 publications

References 5 publications

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

Atualizações sobre o tratamento cirúrgico do divertículo de Meckel / Updates on surgical treatment of Meckel's diverticulum

Sonographische Diagnose der Meckel-Divertikulitis beim Erwachsenen

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