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Sonographic findings of Meckel's diverticulitis in children

Matteo Baldisserotto1, Deise Regina Maffazzoni, Marcelo Dourado Dora

  • 1Departmento de Radiologia, Hospital da Criança Conceição-Ministério da Saúde, Rua Francisco Trein 596, Porto Alegre, RS, Brazil 91350-200.

AJR. American Journal of Roentgenology
|January 24, 2003
PubMed

Insights

Inflamed Meckel

Area of Science:

  • Radiology
  • Gastroenterology
  • Pediatric Surgery

Background:

  • Limited prior studies detail sonographic findings of inflamed Meckel's diverticulum.
  • Inflamed Meckel's diverticulum can present with diverse clinical symptoms.

Purpose of the Study:

  • To review sonographic, clinical, and pathologic findings in 10 patients with inflamed Meckel's diverticulum.
  • To describe unique color Doppler sonography findings in two patients.

Main Methods:

  • Retrospective review of sonographic, clinical, and pathologic data.
  • Analysis of sonographic images, including color Doppler.
  • Correlation of imaging findings with clinical presentation and pathology.

Main Results:

  • Sonographic findings can mimic acute appendicitis or intestinal duplication.
  • A tubular hyperechoic structure on sonography suggests Meckel's diverticulum in cases of diverticulitis with rectal bleeding.
  • Color Doppler revealed anomalous vessels and inflammation on the diverticulum wall.

Conclusions:

  • Sonographic features of inflamed Meckel's diverticulum can be mistaken for other conditions.
  • Visualization of a tubular hyperechoic structure is indicative of Meckel's diverticulum.
  • Color Doppler sonography aids in identifying specific inflammatory and vascular changes.
Abstract

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