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Related Experiment Videos

Intussuscepted Meckel diverticulum: radiologic-pathologic correlation.

M L Black1, P R Ros, J G Smirniotopoulos

  • 1Department of Radiology, Walter Reed Army Medical Center, Washington, DC 20307-5001.

Computerized Radiology : Official Journal of the Computerized Tomography Society
|November 1, 1987
PubMed
Summary
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Intussusception in Meckel diverticulum is difficult to diagnose with small bowel series. Computed tomography (CT) can reveal a characteristic central fat density, aiding in diagnosing inverted Meckel diverticulum.

Area of Science:

  • Gastroenterology
  • Radiology
  • Pathology

Background:

  • Meckel diverticulum is a congenital anomaly.
  • Intussusception is a common complication of Meckel diverticulum.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of imaging modalities for Meckel diverticulum presenting as intussusception.
  • To identify characteristic CT findings of intussuscepted Meckel diverticulum.

Main Methods:

  • Retrospective review of nine cases of Meckel diverticulum with intussusception.
  • Correlation of clinical, radiological (small bowel series, CT), and pathological findings.

Main Results:

  • Small bowel series findings for intussuscepted Meckel diverticulum were non-specific.

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  • CT demonstrated a central fat density surrounded by soft tissue in one case, correlating with pathological findings.
  • This CT appearance was deemed characteristic of an inverted Meckel diverticulum.
  • Conclusions:

    • CT imaging may provide characteristic findings for diagnosing inverted Meckel diverticulum with intussusception.
    • Radiological-pathological correlation is crucial for understanding Meckel diverticulum presentations.