Hemorrhagic Meckel’s diverticulum. Interest of the digestive pertechnetate scintigraphy

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Published May 19, 2017
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Vol. 94 No. 10 (2016): Issue Oct 2016

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Aida Mhiri
Ihsen Slim
Faouzi Ben Slimène

Abstract

Meckel's diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract. Clinical symptoms can result in pain, bleeding and perforation caused by peptic ulceration. Among all imaging modalities, Tc-99m pertechnetate scintigraphy is the most sensitive method for Meckel's diverticulum diagnosis, but only mentioned in a few publications.
We report the case of a young child with rectal bleeding related hemorrhagic Meckel’s diverticulum. Endoscopy and ultrasound were normal. The diagnosis was done by scintigraphy with technetium revealing an accumulation of radiotracer by mucous cells in ectopic gastric mucosa, which allows a detection of Meckel's diverticulum.
Our case illustrates the importance of this exam to the diagnosis of gastrointestinal bleeding with normal endoscopy.

Keywords:

Meckel's diverticulum, scintigraphy, rectal bleeding

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References

  1. CM Hobbs. From the archives of the AFIP. Meckel diverticulum: radiologic G. Schmutz, A. Joidate, C. Aubé, et al. Occlusion intestinale et diverticule de meckel. Feuillets de radiologie, 2003, 43(3) : 223-240.7.
  2. S. Ettair. La pathologie du diverticule de Meckel chez l'enfant. Thèse Doc Méd. 1993 :319 Rabat 3. J.
  3. Sagar. Meckel's diverticulum: a systematic review J R Soc Med 2006; 99:501-505 4.
  4. F. Swaniker et coll. The utility of technetium 99m pertechnetate scintigraphy in the evaluation of patients with Meckel's diverticulum J Pediat Surg 1999; 34(5):760-765.
  5. L.P. Connely et coll. Meckel's diverticulum: Demonstration of Heterotopic gastric mucosa with Technetium 99m Pertechnetate SPECT J Nucl Med 1998; 39: 1458-1460 50.
  6. R.J. Bennink et coll. Non-invasive measurement of gastric accommodation by means of pertechnetate SPECT: limiting radiation dose without losing image quality J Nucl Med 2004; 45: 147-152 51.
  7. Kh.M. Elsayes et coll. Imaging Manifestations of Meckel's diverticulum AJR 2007; 189:81-88 46.
  8. GL. Bennett, BA. Birnbaum, J. EBalthazar. CT of Meckel's diverticulitis in 11 patients. AJR Am J Roentgenol. 2004;182(3):625-9.
  9. D. Danzer, P. Gervaz, Platon et al. Bleeding Meckel's diverticulum diagnosis: an unusual indication for computed tomography. Abdom Imaging. 2003; 28(5):631-3.
  10. DE. Olson, YW Kim, LF. Donnelly. CT findings in children with Meckel's diverticulum. Pediatr Radiol 2009 ; 39:659-663.