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[Meckel's diverticulum---clinical picture, diagnosis and treatment]
J Hjarboek1, H Teisen, I De Haas
1Radiologische und Abdominal-Chirurgische Abteilung, Universitätshospital Odense, Dänemark.
Abstract:
Meckel's diverticulum is the most common anomaly of the gastrointestinal tract. It is usually asymptomatic, but it can cause rectal bleeding and bowel obstruction in both children and adults. Different investigative methods are used to diagnose Meckel's diverticulum. When a Meckel's diverticulum is suspected to cause rectal bleeding in children, the first choice of examination is the Meckel scan. Angiography is an alternative method in adults. Demonstration of a Meckel's diverticulum using barium meal examination is rare, but enteroclysis has been stated to be the most accurate method in detecting Meckel's diverticulum and other focal abnormalities of the small bowel.
Insights
Meckel's diverticulum, a common gastrointestinal anomaly, can cause bleeding and obstruction. Enteroclysis is the most accurate diagnostic method for this condition and other small bowel abnormalities.
Area of Science:
- Gastroenterology
- Medical Imaging
- Pediatric Surgery
Context:
- Meckel's diverticulum is the most frequent congenital anomaly of the gastrointestinal tract.
- While often asymptomatic, it can manifest with significant complications like rectal bleeding and bowel obstruction.
- Diagnosis requires various investigative methods, with specific modalities preferred for different patient groups and symptoms.
Purpose:
- To review the diagnostic approaches for Meckel's diverticulum.
- To highlight the efficacy of different imaging techniques in identifying this anomaly.
- To establish enteroclysis as a highly accurate method for detecting Meckel's diverticulum and other small bowel abnormalities.
Summary:
- Meckel's diverticulum, the most common GI anomaly, can lead to rectal bleeding and obstruction.
- The Meckel scan is the primary diagnostic tool for suspected pediatric cases with bleeding.
- Enteroclysis is identified as the most accurate imaging method for Meckel's diverticulum and other small bowel focal abnormalities, surpassing barium meal examinations.
Impact:
- Provides a clear overview of diagnostic strategies for Meckel's diverticulum.
- Emphasizes the diagnostic superiority of enteroclysis for small bowel abnormalities.
- Aids clinicians in selecting the most appropriate imaging modality for suspected Meckel's diverticulum.