Meckel's diverticulum other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]

Overview

A technetium-99m (99mTc) pertechnetate scan is the investigation of choice for the diagnosis of Meckel's diverticulum. This scan detects gastric mucosa; since approximately 50% of symptomatic Meckel's diverticula have ectopic gastric (stomach) cells contained within them. A Meckel's diverticulum containing gastric mucosa manifests as a small rounded area of increased activity in the right lower quadrant, while normal activity simultaneously appears in the stomach.

Other Imaging Findings

Technetium-99m pertechnetate radioisotope scanning

Radionuclide scan or Technetium-99m scan in patients with Meckel's diverticulum
Source: Wikimedia commons [11]

Angiography

Single-photon emission computed tomography (SPECT)/CT fusion imaging

References

  1. Spottswood SE, Pfluger T, Bartold SP, Brandon D, Burchell N, Delbeke D, Fink-Bennett DM, Hodges PK, Jolles PR, Lassmann M, Maurer AH, Seabold JE, Stabin MG, Treves ST, Vlajkovic M (2014). "SNMMI and EANM practice guideline for meckel diverticulum scintigraphy 2.0". J Nucl Med Technol. 42 (3): 163–9. doi:10.2967/jnmt.113.136242. PMID 24948825.
  2. 2.0 2.1 "Fundamentals of Pediatric Surgery - Google Books".
  3. Mhiri A, Slim I, Ben Slimène F (2016). "Hemorrhagic Meckel's diverticulum. Interest of the digestive pertechnetate scintigraphy". Tunis Med. 94 (10): 629–631. PMID 28972258.
  4. Mhiri A, Slim I, Ben Slimène F (2016). "Hemorrhagic Meckel's diverticulum. Interest of the digestive pertechnetate scintigraphy". Tunis Med. 94 (8–9): 629–631. PMID 28685802.
  5. Martin JP, Connor PD, Charles K (2000). "Meckel's diverticulum". Am Fam Physician. 61 (4): 1037–42, 1044. PMID 10706156.
  6. Lin S, Suhocki PV, Ludwig KA, Shetzline MA (2002). "Gastrointestinal bleeding in adult patients with Meckel's diverticulum: the role of technetium 99m pertechnetate scan". South. Med. J. 95 (11): 1338–41. PMID 12540005.
  7. Sinha CK, Pallewatte A, Easty M, De Coppi P, Pierro A, Misra D, Biassoni L (2013). "Meckel's scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years". Pediatr. Surg. Int. 29 (5): 511–7. doi:10.1007/s00383-013-3270-3. PMID 23417523.
  8. Irvine I, Doherty A, Hayes R (2017). "Bleeding meckel's diverticulum: A study of the accuracy of pertechnetate scintigraphy as a diagnostic tool". Eur J Radiol. 96: 27–30. doi:10.1016/j.ejrad.2017.09.008. PMID 29103471.
  9. Rerksuppaphol S, Hutson JM, Oliver MR (2004). "Ranitidine-enhanced 99mtechnetium pertechnetate imaging in children improves the sensitivity of identifying heterotopic gastric mucosa in Meckel's diverticulum". Pediatr. Surg. Int. 20 (5): 323–5. doi:10.1007/s00383-004-1189-4. PMID 15241619.
  10. Petrokubi RJ, Baum S, Rohrer GV (1978). "Cimetidine administration resulting in improved pertechnetate imaging of Meckel's diverticulum". Clin Nucl Med. 3 (10): 385–8. PMID 729309.
  11. "File:Meckel's Diverticulum by Technetium-99m Pertechnetate Scan.jpg - Wikimedia Commons".
  12. Routh WD, Lawdahl RB, Lund E, Garcia JH, Keller FS (1990). "Meckel's diverticula: angiographic diagnosis in patients with non-acute hemorrhage and negative scintigraphy". Pediatr Radiol. 20 (3): 152–6. PMID 2352792.
  13. García-Blázquez V, Vicente-Bártulos A, Olavarria-Delgado A, Plana MN, van der Winden D, Zamora J (2013). "Accuracy of CT angiography in the diagnosis of acute gastrointestinal bleeding: systematic review and meta-analysis". Eur Radiol. 23 (5): 1181–90. doi:10.1007/s00330-012-2721-x. PMID 23192375.
  14. Dillman JR, Wong KK, Brown RK, Frey KA, Strouse PJ (2009). "Utility of SPECT/CT with Meckel's scintigraphy". Ann Nucl Med. 23 (9): 813–5. doi:10.1007/s12149-009-0301-1. PMID 19784878.



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