Meckel's diverticulum

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Meckel's diverticulum
Meckel's diverticulum

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Diagnosis

Imaging Findings

  • Meckel diverticulum is identified as a saccular, blind-ending structure located on the antimesenteric border of the ileum.
  • Meckel diverticulum is usually found in the right lower quadrant and pelvic region.
  • The junction of the diverticulum with the ileum may show a mucosal triangular plateau or triradiate fold pattern (represents the site of omphalomesenteric duct attachment to the ileum).
  • Filling defects within the diverticulum may represent enteroliths, fecoliths, or foreign bodies.
  • Technetium-99m pertechnetate scintigraphy is the modality of choice for evaluating pediatric patients with gastrointestinal hemorrhage and a suspected Meckel diverticulum.
  • A Meckel diverticulum containing gastric mucosa will manifest as a small rounded area of increased activity in the right lower quadrant.
  • Normal activity will simultaneously appear in the stomach.

Treatment

Treatment is surgical, consisting of a resection of the affected portion of the bowel.


References


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