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99mTc-Pertechnetate in Diagnosis of Meckel Diverticulum in an Adult

Sami Ahmed Kulaybi1, Jaber Abdulwahab Asiri2, Zain Mohammed Asiri2

  • 1Medical Imaging Department, King Saud Medical City, Riyadh, Saudi Arabia dr.sami2010@hotmail.com.

Journal of Nuclear Medicine Technology
|February 7, 2023
PubMed

Insights

Meckel diverticulum (MD) is a common gastrointestinal malformation. Technetium-99m pertechnetate scans can effectively diagnose MD in adults, even in cases presenting with bleeding from ectopic gastric mucosa.

Area of Science:

  • Gastroenterology
  • Diagnostic Imaging
  • Pediatric Surgery

Background:

  • Meckel diverticulum (MD) is a frequent congenital anomaly of the small intestine.
  • Complications of MD include obstruction, intussusception, hemorrhage, ulceration, fistulae, and tumors.
  • Bleeding from ectopic gastric mucosa within the MD is a known complication, more prevalent in children.

Purpose of the Study:

  • To report a case of Meckel diverticulum diagnosed in a 25-year-old male.
  • To highlight the utility of technetium-99m pertechnetate scintigraphy in diagnosing MD in adults.

Main Methods:

  • A 25-year-old male presented with symptoms suggestive of MD.
  • Diagnosis was confirmed using technetium-99m (99mTc) pertechnetate scintigraphy.

Main Results:

  • 99mTc-pertechnetate scintigraphy successfully identified Meckel diverticulum in the adult patient.
  • The scan provided a noninvasive method for diagnosis.

Conclusions:

  • 99mTc-pertechnetate scintigraphy is a valuable tool for the noninvasive diagnosis of Meckel diverticulum.
  • This imaging modality has a demonstrated role in the evaluation of MD, including in adult patients.
Keywords:
99mTc-pertechnetateGI bleedingMeckel diverticulum

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