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Revisiting the forgotten remnant: Imaging spectrum of Meckel's diverticulum

Manish Kumar1, Priya Singh1, Priti Kumari2

  • 1Department of Radiodiagnosis, Mayo Institute of Medical Science, Barabanki, India.

SA Journal of Radiology
|August 8, 2022
PubMed

Insights

Meckel's diverticulum, a remnant of the vitello-intestinal duct, can cause serious complications. This case series highlights CT imaging features crucial for diagnosing symptomatic Meckel's diverticulum and its complications.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Pathology

Background:

  • Meckel's diverticulum arises from persistent vitello-intestinal duct remnants.
  • It is often asymptomatic, discovered incidentally during surgery.
  • Complications include obstruction, diverticulitis, hemorrhage, and perforation, leading to symptoms.

Observation:

  • Clinical and imaging diagnosis of Meckel's diverticulum is challenging.
  • Preoperative diagnosis is difficult due to rarity and limited imaging knowledge.
  • This case series presents a spectrum of Meckel's diverticulum complications and their CT features.

Findings:

  • Computed tomography (CT) reveals characteristic imaging features of complicated Meckel's diverticulum.
  • High clinical suspicion is essential for identifying Meckel's diverticulum on CT.
  • Careful examination in typical locations can prevent missed diagnoses.

Implications:

  • Enhanced understanding of CT imaging aids in diagnosing symptomatic Meckel's diverticulum.
  • Improved preoperative diagnosis can lead to timely surgical intervention.
  • Recognizing CT findings is vital for managing Meckel's diverticulum complications.
Keywords:
Meckel’s acute abdomenMeckel’s diverticulumcomplicationscomputed tomographyimaging

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