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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
PubMed
Summary
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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.

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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.