Meckel diverticulum

Case contributed by Dr Eric F Greif

Presentation

Vague abdominal pain.

Patient Data

Age: 51
Gender: Male
CT

In the right mid abdomen there is a blind ending, air-filled, distended tubular/diverticular structure originating off the distal ileal bowel, measuring approximately 6.5 cm in length. The base of the diverticulum is narrowed at its origin. There is no signs of inflammation about the diverticula.

Liver cysts are noted. Bilateral renal cyst. Small hiatal hernia.

 

Nuclear medicine

Technetium 99m pertechnetate Meckel scan. The scan shows faint focal uptake in the right upper-mid abdomen on the 5, 10, 15, 20 and 25-minute delayed images.

Annotated image

There is a blind ending, air-filled, distended tubular/diverticular structure originating off the distal ileal bowel (yellow oval), with the base of the diverticulum being narrowed at its origin (yellow arrow). Findings are consistent with Meckel diverticulum.

Annotated image

The scan shows faint focal uptake in the right upper-mid abdomen on the 5, 10, 15, 20 and 25-minute delayed images (yellow arrows), consistent for Meckel diverticulum.

Case Discussion

Patient complained of chronic vague abdominal pain for many years. The CT and Meckel diverticulum scan showed findings consistent for Meckel diverticulum.   

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Case information

rID: 53821
Case created: 8th Jun 2017
Last edited: 11th Jun 2017
Inclusion in quiz mode: Included

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