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Inverted Meckel's diverticulum simulating a pedunculated small bowel polyp
M Simms1, D A Malatjalian, L Fried
1Department of Diagnostic Radiology, Victoria General Hospital, Dalhousie University, Halifax, Novia Scotia, Canada.
Abdominal Imaging
|May 1, 1995
Abstract:
We report a rare case of an isolated inverted Meckel's diverticulum presenting with acute gastrointestinal hemorrhage. The radiographic appearances simulated a pedunculated small bowel polyp. The radiographic and pathologic features are described and a brief review of the reported cases is provided.
Insights
A rare inverted Meckel's diverticulum caused acute gastrointestinal bleeding, mimicking a small bowel polyp on imaging. This case highlights diagnostic challenges and reviews similar rare occurrences.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Meckel's diverticulum is a congenital anomaly of the small intestine.
- Inverted Meckel's diverticulum is an extremely rare variant.
- Presentation with acute gastrointestinal hemorrhage is uncommon.
Observation:
- A rare case of an isolated inverted Meckel's diverticulum was identified.
- The patient presented with acute gastrointestinal hemorrhage.
- Radiographic imaging suggested a pedunculated small bowel polyp.
Findings:
- The inverted Meckel's diverticulum was confirmed pathologically.
- Radiographic features mimicked a small bowel polyp.
- A review of previously reported cases was conducted.
Implications:
- This case underscores the importance of considering rare diagnoses in gastrointestinal bleeding.
- Accurate radiographic interpretation is crucial for differentiating Meckel's diverticulum from other lesions.
- Understanding rare variants aids in surgical planning and patient management.