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Inverted Meckel's diverticulum.

Y M Chen1, R S Teague, N T Wolfman

  • 1Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC 27103.

Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society
|November 1, 1989
PubMed
Summary
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Inverted Meckel's diverticulum, a rare condition, can mimic benign tumors. This case highlights its unusual presentation in the distal ileum on computed tomography.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Medical Imaging

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • Inverted Meckel's diverticulum is an exceptionally rare variant.
  • Accurate diagnosis is crucial for appropriate surgical management.

Observation:

  • A 59-year-old woman presented with symptoms suggestive of an ileal mass.
  • Computed tomography revealed a distal ileal lesion.
  • The lesion exhibited a central low-fat density area, an atypical finding.

Findings:

  • The patient was diagnosed with an inverted Meckel's diverticulum.
  • The diverticulum's location and imaging characteristics mimicked a benign tumor.
  • This presentation is novel and previously undescribed in medical literature.

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Implications:

  • This case expands the differential diagnosis for ileal masses.
  • Radiologists and surgeons should consider inverted Meckel's diverticulum in similar presentations.
  • Enhanced awareness may improve diagnostic accuracy and patient outcomes.