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Multimodality imaging manifestations of the Meckel diverticulum in children

Manish Kotecha1, Richard Bellah, Andres H Pena

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

Pediatric Radiology
|October 11, 2011
PubMed

Insights

Meckel diverticulum, a common congenital gastrointestinal abnormality, can lead to complications like bleeding and obstruction. Radiologists must recognize its varied imaging presentations to avoid misdiagnosis with other abdominal conditions.

Area of Science:

  • Gastroenterology
  • Radiology
  • Medical Imaging

Background:

  • Meckel diverticulum is the most common congenital gastrointestinal abnormality, affecting ~2% of the population.
  • Complications occur in 0.5%-2% of individuals, including bleeding, obstruction, inflammation, and perforation.
  • Clinical presentation is often nonspecific, mimicking other intra-abdominal conditions.

Purpose of the Study:

  • To highlight the diverse imaging manifestations of Meckel diverticulum complications.
  • To increase radiologist awareness of potential presentations.
  • To aid in differentiating Meckel diverticulum complications from more common intra-abdominal pathologies.

Main Methods:

  • Pictorial essay format.
  • Illustrates complications of Meckel diverticulum.
  • Utilizes multiple imaging modalities.

Main Results:

  • Meckel diverticulum complications can mimic appendicitis, inflammatory bowel disease, and small bowel obstruction.
  • Radiologists need to consider Meckel diverticulum in the differential diagnosis.
  • Diverse imaging findings are presented across various modalities.

Conclusions:

  • Awareness of Meckel diverticulum's varied imaging appearances is crucial for accurate diagnosis.
  • Radiologists play a key role in identifying complications that mimic other abdominal diseases.
  • This essay provides visual examples to enhance diagnostic capabilities.

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