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Multimodality imaging manifestations of the Meckel diverticulum in children

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Abstract

Meckel diverticulum is the most common congenital abnormality of the gastrointestinal (GI) tract, occurring in approximately 2% of the general population. The lifetime complication rate from a Meckel diverticulum is 0.5%–2%. The most common complications include bleeding, obstruction, inflammation and perforation. However, the clinical manifestations of a Meckel diverticulum are frequently nonspecific. As a result, complications secondary to Meckel diverticulitis can mimic a variety of more common intra-abdominal processes, such as appendicitis, inflammatory bowel disease and any other cause of small bowel inflammation or obstruction. The radiologist should be aware of potential manifestations of the disease on different imaging modalities. In this pictorial essay, we illustrate several complications related to the Meckel diverticulum, in multiple modalities.

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References

  1. Jay GD 3rd, Margulis RR, McGraw AB et al (1950) Meckel’s diverticulum; a survey of one hundred and three cases. Arch Surg 61:158–169

    Article  PubMed  Google Scholar 

  2. Haber JJ (1947) Meckel’s diverticulum; review of literature and analytical study of 23 cases with particular emphasis on bowel obstruction. Am J Surg 73:468–485

    Article  PubMed  CAS  Google Scholar 

  3. Ludtke FE, Mende V, Kohler H et al (1989) Incidence and frequency or complications and management of Meckel’s diverticulum. Surg Gynecol Obstet 169:537–542

    PubMed  CAS  Google Scholar 

  4. Baldisserotto M, Maffazzoni DR, Dora MD (2003) Sonographic findings of Meckel’s diverticulitis in children. AJR 180:425–428

    PubMed  Google Scholar 

  5. Ymaguchi M, Takeuchi S, Awazu S (1978) Meckel’s diverticulum. Investigation of 600 patients in Japanese literature. Am J Surg 136:247–249

    Article  PubMed  CAS  Google Scholar 

  6. Levy AD, Hobbs CM (2004) From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic correlation. Radiographics 24:565–587

    Article  PubMed  Google Scholar 

  7. Elsayes KM, Menias CO, Harvin HJ et al (2007) Imaging manifestations of Meckel’s diverticulum. AJR 189:81–88

    Article  PubMed  Google Scholar 

  8. Menezes M, Tareen F, Saeed A et al (2008) Symptomatic Meckel’s diverticulum in children: a 16-year review. Pediatr Surg Int 24:575–577

    Article  PubMed  Google Scholar 

  9. Kusumoto H, Yoshida M, Takahashi I et al (1992) Complications and diagnosis of Meckel’s diverticulum in 776 patients. Am J Surg 164:382–383

    Article  PubMed  CAS  Google Scholar 

  10. Sinha CK, Fishman J, Clarke SA (2009) Neonatal Meckel’s diverticulum: spectrum of presentation. Pediatr Emerg Care 25:348–349

    Article  PubMed  Google Scholar 

  11. Olson DE, Kim YW, Donnelly LF (2009) CT findings in children with Meckel diverticulum. Pediatr Radiol 39:659–663, quiz 766–767

    Article  PubMed  Google Scholar 

  12. Sfakianakis GN, Conway JJ (1981) Detection of ectopic gastric mucosa in Meckel’s diverticulum and in other aberrations by scintigraphy: I. Pathophysiology and 10-year clinical experience. J Nucl Med 22:647–654

    PubMed  CAS  Google Scholar 

  13. Connolly LP, Treves ST, Bozorgi F et al (1998) Meckel’s diverticulum: demonstration of heterotopic gastric mucosa with technetium-99m-pertechnetate SPECT. J Nucl Med 39:1458–1460

    PubMed  CAS  Google Scholar 

  14. Bennett GL, Birnbaum BA, Balthazar EJ (2004) CT of Meckel’s diverticulitis in 11 patients. AJR 182:625–629

    PubMed  Google Scholar 

  15. Baldisserotto M (2004) Color Doppler sonographic findings of inflamed and perforated Meckel diverticulum. J Ultrasound Med 23:843–848

    PubMed  Google Scholar 

  16. Vargas-Gonzalez R, Camacho-Gonzalez C, Garcia Galicia A (2005) Clinical images in gastroenterology. Perforation of Meckel’s diverticulum by Ascaris lumbricoides. Rev Gastroenterol Mex 70:324

    PubMed  Google Scholar 

  17. Sartorelli KH, Healey C, Deross A (2007) Perforated Meckel’s diverticulum in a child after blunt abdominal trauma. J Trauma 63:1167–1168

    PubMed  Google Scholar 

  18. Karaman A, Karaman I, Erdogan D et al (2007) Perforation of Meckel’s diverticulum by a button battery: report of a case. Surg Today 37:1115–1116

    Article  PubMed  Google Scholar 

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Acknowledgement

This work was honored with a John Caffey award at the 2009 meeting of the Society for Pediatric Radiology.

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Authors and Affiliations

  1. Department of Radiology, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Boulevard, 3NW 39, Philadelphia, PA, 19104, USA

    Manish Kotecha, Richard Bellah, Andres H. Pena & Camilo Jaimes

  2. Department of Surgery, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Peter Mattei

Authors
  1. Manish Kotecha
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  2. Richard Bellah
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  3. Andres H. Pena
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  4. Camilo Jaimes
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  5. Peter Mattei
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Correspondence to Richard Bellah.

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CME activity This article has been selected as the CME activity for the current month. Please visit the SPR Web site at www.pedrad.org on the Education page and follow the instructions to complete this CME activity.

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Kotecha, M., Bellah, R., Pena, A.H. et al. Multimodality imaging manifestations of the Meckel diverticulum in children. Pediatr Radiol 42, 95–103 (2012). https://doi.org/10.1007/s00247-011-2252-7

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  • DOI: https://doi.org/10.1007/s00247-011-2252-7

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