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Meckel's diverticulum Imaging: In and Out.

Aruna Raman Patil1, Shrivalli Nandikur1, Hema Tadimari2

  • 1Sr Consultant, Department of Radiology, Apollo Hospitals, Bangalore, India.

Current Problems in Diagnostic Radiology
|January 24, 2026
PubMed
Summary
This summary is machine-generated.

Meckel's diverticulum, a common omphalomesenteric duct anomaly, can cause various complications like bleeding and obstruction, particularly in males. Imaging is crucial for diagnosing these complications and guiding management.

Keywords:
Computed tomographyDiverticulitisIntussusceptionMeckels diverticulumbowel obstructionomphalomesenteric duct

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Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Radiology

Background:

  • Meckel's diverticulum (MD) is the most frequent congenital anomaly of the omphalomesenteric duct, occurring in 2-3% of the population.
  • It's a true diverticulum of the ileum, often containing heterotopic gastric or pancreatic mucosa, increasing risks of bleeding and inflammation.
  • Complications vary by age and sex, including hemorrhage, obstruction, and ischemia.

Purpose of the Study:

  • To review the spectrum of Meckel's diverticulum complications.
  • To discuss the embryological basis of MD.
  • To highlight the role of imaging in diagnosis and current management guidelines for incidentally found MD.

Main Methods:

  • This is a pictorial essay.
  • Review of imaging modalities including Ultrasound (USG), CT, and Nuclear Medicine.
  • Discussion of embryological concepts and management guidelines.

Main Results:

  • Meckel's diverticulum presents with diverse complications, with imaging playing a critical diagnostic role.
  • Imaging modalities like USG, CT, and Nuclear Medicine are essential for identifying MD-related issues.
  • Management strategies for incidentally detected MD are also addressed.

Conclusions:

  • Accurate diagnosis of Meckel's diverticulum complications relies heavily on appropriate imaging.
  • Understanding the embryology and spectrum of complications is key for effective patient management.
  • Current guidelines provide a framework for managing incidentally discovered Meckel's diverticulum.