Related Experiment Videos
[Radiologic diagnosis of Meckel's diverticulum]
Acta Gastroenterologica Latinoamericana
|January 1, 1978
Insights
Pre-surgical diagnosis of Meckel
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastrointestinal Radiology
Background:
- Meckel's diverticulum is a congenital anomaly requiring accurate pre-surgical diagnosis.
- Diagnostic challenges in pediatric Meckel's diverticulum necessitate effective imaging techniques.
Purpose of the Study:
- To evaluate the efficacy of a double-contrast naso-jejunal-ileal intubation technique for pre-surgical diagnosis of Meckel's diverticulum.
- To compare radiographic findings with Technetium-99m (Tc99) scanning in diagnosing Meckel's diverticulum.
Main Methods:
- Utilized a naso-jejunal-ileal tube for double-contrast imaging with radio-opaque fluid and air.
- Performed radioscopic and radiographic examinations in seven pediatric patients.
- Compared imaging results with intraoperative findings and Tc99 scanning.
Main Results:
- The double-contrast technique accurately identified Meckel's diverticulum in all seven children.
- Radiographic findings correlated well with surgical confirmation.
- Tc99 scanning results were also considered in the comparison.
Conclusions:
- Double-contrast imaging via naso-jejunal-ileal intubation is a reliable pre-surgical diagnostic method for Meckel's diverticulum in children.
- This technique aids in accurate surgical planning and confirmation.
Abstract:
This paper describes our experience with pre-surgical diagnosis of Meckel's diverticulum. We used a naso-jejunal-ileal tube, through which, we injected small amounts of radio-opaque fluid and air, thus utilizing double contrast. In seven children diverticulum was shown to be present by radioscopic and radiographic techniques; this was later confirmed during laparotomy. X-ray findings were compared with Tc99 scanning results.