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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[US and CT findings in complicated Meckel diverticulum].
Log in Sign up. Clinical symptoms included acute abdomen 4 ptsintestinal occlusion 3 ptsabdominal pain 4 ptsfever 5 pts. Case 6 Case 6. It may be silent or symptomatic when complicated by hemorrage, intestinal occlusion, diverticulitis and umbilical fistulas.
Sonographic and computed tomographic findings in a case of enterolith in Meckel’s diverticulum
Clinically the differential diagnosis is broad, and unless a Meckel diverticulum diveryicolo known to be present, Meckel diverticulitis meckeel usually not specifically suspected. A number of mechanisms are recognised as precipitants of diverticulitis.
Its level on CT can be either superior or inferior to the terminal ileum 1. Related Radiopaedia articles Anatomy: Ultrasound may show a blind-ending peristaltic loop connected to the small bowel. Painless rectal bleeding is also frequent. 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.
Meckel diverticulitis | Radiology Reference Article |
Radiological studies were abdominal plain radiography 8 ptsultrasound 5 ptsCT 9 pts. This article focuses on Meckel diverticulitis. Articles Cases Courses Quiz. Radiology of Meckel’s diverticulum. Articles Meckeo Courses Quiz. Rarely, an enterolith can also be visualized within the diverticulum.
Divrticolo diverticulitis can occur due to bacterial infection, which can go on occasionally to gangrene. Imaging these may occasionally be detected incidentally or may be identified if there is a complication. For a general discussion of the un-inflamed diverticulum, please refer to the article on Meckel diverticulum.
Ectopic gastric mucosa, if present, can be picked up on this scan, but again does not usually play a role in the acute presentation. Peptic ulceration due to acid secretion from gastric mucosa see Meckel diverticulum or diverticular torsion is also encountered. CT proved to be more specific showing signs suggestive of correct diagnosis in 6 pts. Doppler may reveal anomalous vessels and signs of inflammation along the diverticulum.
Unable to process the form. Usually of limited in the diagnosis of an uncomplicated Meckel diverticulum. CT was not diagnostic in 3 pts; in 2 pts it showed an abscessual fluid collection in the pelvis, adherent to intestinal loops, with flogosis of the perivisceral fat; in 1 pt it revealed perforation; in 4 cases it was specific showing inversion of the diverticulum in an intestinal loop 2 pts or a tubular fluid-filled structure, with thickened walls and contrast enhancement, which was interpreted as a inflammatory diverticulum 2 pts.
It can be as long as 5 cm with diameters up to 2 cm. While traditionally described to have increased male predilection, divreticolo may occur with equal frequency in both sexes although symptoms from complications are more common in male patients 2, CT is the main modality employed in imaging patients with acute abdominal pain and signs of inflammation.
Abdominal plain radiography depicted signs of intestinal occlusion 4 pts and perforation 1 pts ; in 4 pts the signs were non diagnostic. Case 2 Case 2. Most patients with a complication are thought to present in the first mecke, years of life 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.
Identification of Meckel diverticulitis requires not only familiarity with the condition but also a careful examination of the small bowel.
It can be seen in the midline, or on either side of the midline. Crit Rev Diagn Imaging. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Patients usually present with acute pain in the right lower quadrant. Diveritcolo is taken up by mucin-secreting cells of the gastric mucosa and ectopic gastric tissue.
It is possible for the diverticulum to invert and appear as an intraluminal polypoid lesion This is similar in pathogenesis to acute appendicitis or colonic diverticulitis. Case 3 Case 3. Unable to process the form. It is named after Johann Friedrich Meckelwho described its anatomy and embryology in 2.
Synonyms or Alternate Spellings: Another diagnostic sign is the dkverticolo of a tubular fluid-filled structure, with thickened, enhanced walls. Thank you for updating your details. Edit article Divertioclo article View revision history. It is considered a remnant of the omphalomesenteric-vitelline duct, which connects the yolk sac to the midgut through the umbilical cord.
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If an inflamed diverticulum is identified a number of features should be sought and commented upon, including:. Case 11 Case To quiz yourself on this article, log in to see multiple choice questions. Synonyms or Alternate Spellings: Loading Stack – 0 images remaining.
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