Adenocarcinoma del diverticolo di Meckel, rara complicanza del residuo onfalo- mesenterico: presentazione di un caso e revisione della letteratura. Catalano, O., Lapiccirella, G., & Catalano, O. (). Reperti ecografici e con tomografia computerizzata in un caso di enterolita in diverticolo di Meckel. Intussusception due to Inverted Meckel Diverticulum TC nelle complicanze del diverticolo di Meckel ; La Radiologia Medica – Radiol Med ,

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Doppler may reveal anomalous vessels and signs of inflammation along the diverticulum. Ultrasound showed an abscess in the pelvis 2 ptsdilatation and wall-thickening of an intestinal loop 2 ptsintestinal invagination 1 pts ; it was not diagnostic in 3 pts. Check for errors and try again. Meckel’s diverticulitis Inflamed meckel’s diverticulum. Occasionally it may also be seen as a cyst, raising a different differential diagnosis of intestinal duplication which however is said to have regular margins 2.

CT proved to be more specific showing signs suggestive of correct diagnosis in 6 pts. This article focuses on Meckel diverticulitis. Unable to process the form. Meckel s diverticulum is a not uncommon condition that in some cases is complicated, resulting in acute abdomen. Pertechnetate is taken up by mucin-secreting cells of the gastric mucosa and ectopic gastric tissue.

[US and CT findings in complicated Meckel diverticulum].

Log in Sign up. Meckel’s diverticulum Meckel diverticula Meckel’s diverticula. Keckel this, it is an uncommon cause of acute abdomen and is often not correctly diagnosed pre-operatively. Radiological studies were abdominal plain radiography 8 ptsultrasound 5 ptsCT 9 pts.

Mural wall thickening and enhancement are seen with surrounding inflammatory changes in the adjacent fat as well as small reactive mesenteric lymph nodes.


Sonographic and computed tomographic findings in a case of enterolith in Meckel’s diverticulum

Loading Stack – 0 images remaining. CT is the main modality employed divertifolo imaging patients with acute abdominal pain and signs of inflammation. This is similar in pathogenesis to acute appendicitis or colonic diverticulitis.

Loading Stack – 0 images remaining. It is considered the most common structural congenital anomaly of the gastrointestinal tract. About Blog Go ad-free.

Support Radiopaedia and see fewer ads. Radiologic diagnosis is often difficult because abdominal plain radiography and ultrasound are not sufficiently specific; CT is most accurate in differential diagnosis. Ultrasound may divertocolo a blind-ending peristaltic loop connected to the small bowel. In particular, evidence of an intraluminal prolonged mass with central area of fat density and peripherral collar was considered suggestive of intraluminal invagination of Meckel s diverticulum.

In 2 cases CT showed an abscessual collection with gas-fluid level complication of perforation confirming the need for surgery.

[US and CT findings in complicated Meckel diverticulum].

Ultrasound revealed abscessual collections in the pelvis, fluid distention of the diverticulum, segmental thickening of the intestinal walls and invagination. It is possible for the diverticulum to invert and appear as an intraluminal polypoid lesion Clinical symptoms included acute abdomen 4 ptsintestinal occlusion 3 ptsabdominal pain 4 ptsfever 5 pts.

It may be silent or symptomatic when complicated by hemorrage, intestinal occlusion, diverticulitis and umbilical fistulas. Edit article Share article View revision history.

Articles Cases Courses Quiz. Abdominal plain radiography depicted signs of intestinal occlusion 4 pts and perforation 1 pts ; in 4 pts the signs were non diagnostic. Case 5 Case 5. Meckel diverticula are usually seen siverticolo tubular incompressible blind ending hypoechoic structure with irregular margins. Related Radiopaedia articles Anatomy: Synonyms or Alternate Spellings: Identification of Meckel diverticulitis requires not only familiarity with the condition but also a careful examination of the small bowel.


Rarely, an enterolith can also be visualized within the diverticulum. Radiology of Meckel’s diverticulum. CT is of limited value in uncomplicated cases, as the diverticulum may resemble a normal bowel loop.

As is the case with appendicitisit is said that contrast opacification of diverticula is suggestive of inflammation. Mecjel may show a fluid- or air-filled blind-ending pouch that arises from the antimesenteric side of the distal ileum. Abdominal plain radiography only allowed to diagnose intestinal occlusion or perforation. Our series confirms the difficulty of diagnosing Meckel s diverticulum in an acute setting.

Usually of limited in the diagnosis of an uncomplicated Idverticolo diverticulum. Case 3 Case 3. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

It is named after Johann Friedrich Meckelwho described its anatomy and embryology in 2. Painless rectal bleeding is also frequent. Meckel diverticulum is a congenital intestinal diverticulum due to fibrous degeneration of the umbilical end of the omphalomesenteric vitelline duct that occurs around the distal ileum. It is considered a remnant of the omphalomesenteric-vitelline duct, which connects the yolk sac to the midgut through the umbilical cord.

Ectopic gastric mucosa, if present, can be picked up on this scan, but again does not usually play a role in the acute presentation.