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Radioguided surgery in Meckel's diverticulum.

S Ayala1, A Andrés1, E F Rambalde1

  • 1Servicio de Medicina Nuclear, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain.

Revista Espanola De Medicina Nuclear E Imagen Molecular
|February 25, 2014
PubMed
Summary
This summary is machine-generated.

A patient with recurrent gastrointestinal bleeding was diagnosed with Meckel

Keywords:
(99m)Tc-pertechnetate scintigraphyCirugía radiodirigidaDivertículo de MeckelGammagrafía con (99m)Tc-pertecnetatoMeckel's diverticulumRadioguided surgerySPECT/CTSPECT/TAC

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Area of Science:

  • Gastroenterology
  • Nuclear Medicine
  • Surgical Oncology

Background:

  • Meckel's diverticulum can cause intermittent lower gastrointestinal bleeding.
  • Diagnosis can be challenging, especially after prior abdominal surgery.

Observation:

  • A patient with suspected Meckel's diverticulum experienced recurrent bleeding despite prior surgery and normal colonoscopy.
  • Technetium-99m pertechnetate scintigraphy, including SPECT/CT, successfully located the diverticulum.

Findings:

  • SPECT/CT enhanced scintigraphy improved diagnostic accuracy and lesion localization for Meckel's diverticulum.
  • Laparoscopic radioguided surgery enabled successful and conservative resection of the diverticulum.

Implications:

  • Integrating SPECT/CT into scintigraphic protocols increases diagnostic safety for Meckel's diverticulum.
  • This approach facilitates minimally invasive radioguided surgery, reducing patient morbidity, particularly in complex cases.