A Case of Intussuscepted Meckle's Diverticulum Diagnosed Through Computed Tomography Scan of the Abdomen

Khaled Moghazy1, Hind El-Seif, Yasser Al-Jehani

  • 1Department of Radiology.

Insights

Meckel's diverticulum, a common congenital anomaly, can cause intussusception. CT scans accurately diagnose this condition pre-operatively, improving surgical outcomes for acute abdomen cases.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Diagnostic Imaging

Background:

  • Meckel's diverticulum is the most frequent congenital abnormality of the gastrointestinal tract.
  • It can act as the lead point for intestinal intussusception, a serious condition.
  • Pre-operative diagnosis of intussusception caused by Meckel's diverticulum is often challenging.

Observation:

  • A case report of a 15-year-old male presenting with acute abdomen is described.
  • The patient was diagnosed with intussusception due to an intussuscepted Meckel's diverticulum prior to surgery.
  • Computed tomography (CT) scan was the key diagnostic tool used.

Findings:

  • CT scan successfully identified the intussuscepted Meckel's diverticulum in a pediatric patient.
  • The diagnosis was confirmed pre-operatively, allowing for timely surgical planning.
  • This highlights the utility of CT in diagnosing this specific cause of intussusception.

Implications:

  • CT scan is a safe and non-invasive method for diagnosing intussusception secondary to Meckel's diverticulum.
  • Accurate pre-operative diagnosis can significantly improve patient outcomes, particularly in emergency settings.
  • This diagnostic approach is valuable for managing acute abdomen with uncertain etiology.

Related Concept Videos

Computed Tomography01:10

Computed Tomography

Tomography refers to imaging by sections. Computed tomography (CT) is a non-invasive imaging technique that uses computers to analyze several cross-sectional X-rays to reveal minute details about structures in the body.
The technique was invented in the 1970s and is based on the principle that as X-rays pass through the body, they are absorbed or reflected at different levels. In the technique, a patient lies on a motorized platform while a computerized axial tomography (CAT) scanner rotates...
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and solid...
Imaging Studies III: Computed Tomography01:27

Imaging Studies III: Computed Tomography

DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Imaging Studies I: CT and MRI01:14

Imaging Studies I: CT and MRI

Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...