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.

Abstract

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.

Related Concept Videos

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
478
Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

Mitral Stenosis II: Clinical features and Diagnostic Tests

Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
313
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
628
Imaging Studies for Cardiovascular System V: CT01:28

Imaging Studies for Cardiovascular System V: CT

Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
409
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
2.4K
Imaging Studies IV: Magnetic Resonance Imaging01:27

Imaging Studies IV: Magnetic Resonance Imaging

Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
306