Related Experiment Video

Updated: Jul 25, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Spontaneous perforation and intraabdominal abscess due to Meckel's diverticulum revealed on SPECT/CT with

Yangjun Zhu1, Mengjie Dong2, Wanwen Weng2

  • 1The Department of Ultrasound Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou.

Medicine
|November 10, 2018
PubMed
Abstract

Insights

Meckel's diverticulum perforation is rare but serious. SPECT/CT imaging aids in diagnosing this life-threatening condition, leading to successful surgical management and recovery.

Area of Science:

  • Gastroenterology
  • Diagnostic Imaging
  • Surgical Pathology

Background:

  • Meckel's diverticulum (MD) is a common congenital gastrointestinal anomaly, with symptomatic presentation occurring in only 6.4% of cases.
  • Complications like hemorrhage, perforation, and abscess are rare but potentially fatal.

Observation:

  • A 15-year-old male presented with acute abdominal pain and nausea, exhibiting diffuse tenderness and guarding.
  • Initial CT suggested MD; SPECT/CT fusion imaging identified focal uptake in the right lower quadrant.

Findings:

  • Surgery confirmed Meckel's diverticulum with perforation and localized suppurative peritonitis.
  • Histopathology revealed MD with heterotopic gastric tissue.

Implications:

  • Accurate diagnosis of symptomatic MD, especially with perforation, is challenging due to nonspecific symptoms.
  • SPECT/CT fusion imaging is crucial for timely diagnosis and successful management of rare, life-threatening MD complications.

More Related Videos

Multimodality Diagnosis of Mesenteric Ischemia05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Diverticular Disease of the Colon01:27

Diverticular Disease of the Colon

Diverticular disease involves the formation of diverticula—small sac-like outpouchings of the colonic wall—and their complications. It most commonly affects the sigmoid colon due to higher intraluminal pressure and structural vulnerability. It results from structural weakness and increased pressure in the colon, producing pseudodiverticula that may remain silent or progress to inflammation and serious complications.Structure of DiverticulaIn diverticulosis, these outpouchings are...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...