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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Edit article Share article View revision history. Radiology of Meckel’s diverticulum. Check for errors and try again.
Patients usually present with acute pain in the right lower quadrant. Meckel diverticulitis is the inflammation of Meckel diverticulumwhich is the most common congenital structural abnormality of the gastrointestinal tract 3. Painless rectal bleeding is also frequent.
Support Radiopaedia and see fewer ads. Failure of closure results in:. Meckel s diverticulum is a not uncommon condition divergicolo in some cases is complicated, resulting in acute abdomen.
Sonographic and computed tomographic findings in a case of enterolith in Meckel’s diverticulum
You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Meckel s diverticulum is the most common congenital abnormality of the small bowel.
It may be silent or symptomatic when complicated by hemorrage, intestinal occlusion, diverticulitis and umbilical fistulas. 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.
It is named after Johann Friedrich Meckelwho described its anatomy and embryology in 2. If an inflamed diverticulum is identified a number of features should be sought and commented upon, including:. Meckel’s diverticulitis Inflamed meckel’s diverticulum. Meckel diverticula are usually seen as tubular incompressible blind ending hypoechoic structure with irregular margins.
Pertechnetate is taken up by mucin-secreting cells of the gastric mucosa and ectopic gastric tissue. CT is of limited value in uncomplicated cases, as the diverticulum may resemble a normal bowel loop. Articles Cases Courses Quiz. Ectopic gastric diverticcolo, if present, can be picked up on this scan, but again does not usually play a role in the acute presentation. Meckel diverticulitis Case 2: It can be seen in the midline, or on either side of the midline.
Case mefkel Case 2. This is similar in pathogenesis to acute appendicitis or colonic diverticulitis.
[US and CT findings in complicated Meckel diverticulum].
Case 3 Case 3. Clinically the differential diagnosis is broad, and unless a Meckel diverticulum is known to be present, Meckel diverticulitis is usually not specifically suspected.
Case 11 Case CT may show a fluid- or air-filled blind-ending pouch that arises from the antimesenteric side of the distal ileum.
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Clinical symptoms included acute abdomen 4 ptsintestinal occlusion 3 ptsabdominal pain 4 ptsfever 5 pts. Abdominal plain radiography only allowed to diagnose intestinal occlusion or perforation.
Another diagnostic sign is the evidence of a tubular fluid-filled structure, with thickened, enhanced walls. Mcekel article focuses on Meckel diverticulitis.
Meckel diverticulum | Radiology Reference Article |
It can be as long as 5 vi with diameters up to 2 cm. Mural wall thickening and enhancement mefkel seen with surrounding inflammatory changes in the adjacent fat as well as small reactive mesenteric lymph nodes.
It is considered the most common structural congenital anomaly of the gastrointestinal tract. It is possible for the diverticulum to invert and appear as an intraluminal polypoid lesion Case 4 Case 4.
A large proportion of individuals remain asymptomatic although up to a third of them may experience clinical symptoms 1. Radiological studies were abdominal plain radiography 8 ptsultrasound 5 ptsCT 9 pts.