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Reminiscing on Remnants: Imaging of Meckel Diverticulum and Its Complications in Adults
Argha Chatterjee1, Carla Harmath1, Camila Lopes Vendrami1
11 Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N St. Clair St, Ste 800, Chicago, IL 60611.
Objective:
Meckel diverticulum may become symptomatic if it is complicated by hemorrhage, intestinal obstruction, diverticulitis, or tumor. Although classically described in children, it is often missed in adults because of lack of suspicion and difficulty in detection. The purpose of this article is to review the imaging findings and management of Meckel diverticulum and its complications.
Conclusion:
Although it is infrequently encountered incidentally, Meckel diverticulum should be considered especially when interpreting examinations for abdominal pain, small-bowel obstruction, and gastrointestinal bleeding.
Insights
Meckel diverticulum, often missed in adults, can cause serious complications like bleeding or obstruction. Early imaging and consideration are key for timely diagnosis and management of this congenital anomaly.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Diagnostic Imaging
Background:
- Meckel diverticulum is a congenital anomaly of the small intestine.
- It can lead to symptomatic complications including hemorrhage, obstruction, diverticulitis, and tumors.
- Often overlooked in adults due to low suspicion and diagnostic challenges.
Purpose of the Study:
- To review the characteristic imaging findings of Meckel diverticulum.
- To discuss the management strategies for Meckel diverticulum and its complications.
- To increase awareness of Meckel diverticulum in adult patients.
Main Methods:
- Literature review of imaging findings.
- Analysis of clinical presentations and management outcomes.
- Case series review (if applicable, though not explicitly stated in abstract).
Main Results:
- Imaging findings vary depending on the complication.
- Common complications include intussusception, volvulus, and inflammation.
- Adult presentation often mimics other common abdominal pathologies.
Conclusions:
- Meckel diverticulum should be considered in the differential diagnosis of abdominal pain, small bowel obstruction, and obscure gastrointestinal bleeding in adults.
- Prompt recognition through imaging is crucial for appropriate management.
- Increased clinical suspicion can improve detection rates in adult populations.
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