An uncommon cause of abdominal pain in a child: Meckel diverticulum
Journal Title: Journal of Acute Disease - Year 2017, Vol 6, Issue 5
Abstract
Meckel diverticulum, a common congenital anomaly of the small intestine, can be responsible of several complications due to the presence of ectopic gastric mucosa and represents a challenge for diagnosis. We present the case of a 11-year boy suffering from intestinal pain and bleeding in which radiological examinations unexpectedly raised the suspicion of Meckel diverticulum. The diagnosis was confirmed using 99mTc-pertechnetate scintigraphy. At surgery, a fistulous tract between Meckel diverticulum and an inflamed appendix was found. The authors discuss the role of medical nuclear imaging which, notwithstanding its limitations, is of fundamental importance to achieve a correct and timely diagnosis. This is of particular relevance in unusual cases, as the one presented, in which Meckel diverticulum is found concurrently with other intestinal abnormalities.
Authors and Affiliations
Anna Chiara Iolanda Contini, Tamara Caldaro, Giovanni Federici di Abriola, Erminia Romeo, Valerio Balassone
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