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Am Surg 2018 Dec;84(12):e561-e563

Medicine (Baltimore) 2018 Oct;97(43):e13004

The Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.

Rationale: Meckel's diverticulum (MD) is common congenital abnormality of gastrointestinal tract, only about 6.4% of patients become symptomatic. A smaller minority develop potential fatal complications such as hemorrhage, perforation, abscess, and bowel obstruction. Read More

Rev Med Liege 2018 Sep;73(9):474-479

Service de Pédiatrie, CHA Libramont, Belgique.

The persistence of the embryonic vitelline duct can lead to omphalomesenteric duct anomalies. A wide variety of anomalies, depending on the remnant segment and its degree of involution, may occur as a result of the omphalomesenteric duct failing to obliterate completely. The most frequent omphalomesenteric duct anomaly is Meckel's diverticulum, which is present in approximately 2-3 % of the population. Read More

Clin Nucl Med 2018 Nov;43(11):825-827

From the Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People's Republic of China.

A previously healthy 11-year-old boy with intermittent abdominal pain and bloody stool underwent Meckel scintigraphy. On the initial images, there was a faint U-shaped activity in the mid-abdominal region, which gradually faded and evolved into distinct foci of radiotracer accumulation in the later images. One of the foci changed its location during the study, suspected as moving Meckel diverticulum. Read More

BMJ Case Rep 2018 Jul 24;2018. Epub 2018 Jul 24.

Pathology, Gold Coast University Hospital, Southport, Queensland, Australia.

We report the case of a 9-year-old boy who presented with abdominal pain and was found to have an intussusception with a sporadic Burkitt's lymphoma (BL) lead point. Our case was unusual in that the patient did not present with the typical clinical features of BL, nor was he in a high-risk demographic for this uncommon disease. Read More

J Int Med Res 2018 Aug 3;46(8):3427-3434. Epub 2018 Jul 3.

Department of Pediatric Surgery, Wuxi Children's Hospital, Wuxi, Jiangsu, China.

Intussusception is common in children. Double simultaneous intussusception is a peculiar variety of intussusception with only 14 previously reported cases. We report a unique case of a child who suffered from double simultaneous intussusception with two lead points (Meckel's diverticulum and intestinal duplication). Read More

Endokrynol Pol 2018 ;69(3):313-317

Nuclear Medicine Department, Medical University of Warsaw, Warsaw, Poland.

A case of 25- years-old female with NET deriving from Meckel's diverticulum is described. The patient had one year history of dermatological skin problems. Ultrasound examination of abdomen performed because of arterial hypertension, revealed multiple hepatic lesions, which was confirmed in contrast enhanced CT. Read More

Diagn Interv Imaging 2018 Nov 14;99(11):769-771. Epub 2018 Jun 14.

Department of Radiology, Centre Hospitalier Universitaire, Pôle d'imagerie, 47, rue Cognacq-Jay, 51092 Reims cedex, France.

Khirurgiia (Mosk) 2018(5):40-44

Martynov Chair of Hospital-Based Surgery # 1, Sechenov First Moscow State Medical University of Healthcare Ministry of the Russian Federation, Vorokhobov Municipal City Clinical Hospital No. 67 Moscow Healthcare Department, Moscow, Russia.

Aim: To evaluate the effectiveness of complex preoperative diagnostics and medication of intussusception followed by intestinal obstruction in adults with the choice of surgical repair and analysis of the outcomes depending on the causes of intussusception.

Material And Methods: 15 intussusception patients aged 19 - 86 years were enrolled. Mean age was 52. Read More

BMJ Case Rep 2018 May 16;2018. Epub 2018 May 16.

Department of Surgery, NYU Langone Hospital - Brooklyn, Brooklyn, New York, USA.

Clin Nucl Med 2018 Jul;43(7):559-560

From the Departments of Nuclear Medicine and.

A Meckel's scintigraphy using TcO4 was performed in a 9-year-old boy. The images revealed an elongated abnormal radiotracer accumulation in the right abdomen, which was confirmed as Meckel diverticulum combined with an omphalomesenteric cyst. Read More

Chirurgia (Bucur) 2018 Mar-Apr;113(2):266-269

Meckel's diverticulum is a congenital anomaly which can become complicated or remain asymptomatic throughout life. During pregnancy, however, diverticulum infection could become a serious complication. Diverticulum necrosis and perforation are complications that increase morbidity in pregnancy, both maternal and fetal. Read More

Pediatr Int 2018 May 30;60(5):481-482. Epub 2018 Mar 30.

Department of General Pediatrics, Ibaraki Children's Hospital, Mito, Ibaraki, Japan.

Dtsch Med Wochenschr 2018 Mar 15;143(6):407-410. Epub 2018 Mar 15.

Klinik für Allgemein-, Viszeral-, Gefäß- & Transplantationschirurgie, Universitätsklinikum Magdeburg A.ö.R., Magdeburg.

Medical History And Clinical Findings:  A 43-year old male patient was admitted because of diffuse abdominal discomfort for two days, which had started in the upper abdomen; medical history, no previous surgical interventions at the abdomen.

Investigations:  Gastroscopy and abdominal ultrasound revealed only a mild gastritis. Laboratory parameters: showed only a slight leucocytosis (10 610/µL). Read More

Case Rep Oncol 2018 Jan-Apr;11(1):6-10. Epub 2018 Jan 4.

aDepartment of Urology, Kyorin University School of Medicine, Mitaka, Japan.

We report a case of a vesicoenteric fistula arising from an adenocarcinoma of ectopic pancreatic tissue in a Meckel diverticulum in a 58-year-old man. The patient suffered from refractory micturition pain and increased urinary frequency. Computerized tomography with a contrast agent showed a ring-shaped enhanced mass near the dome of the urinary bladder. Read More

J Visc Surg 2018 02 13;155(1):83-85. Epub 2018 Feb 13.

Service de chirurgie digestive, hôpital Charles-Nicolle, CHU de Rouen, 1, rue de Germont, 76000 Rouen, France; Centre Normand de medicine génomique et de medicine personalisée, Inserm U1245, Groupe IRON, université de Rouen, CHU de Rouen, 76000 Rouen, France. Electronic address:

Case Rep Surg 2017 17;2017:1871434. Epub 2017 Dec 17.

Second Department of Surgery, National and Kapodistrian University of Athens, School of Medicine, Aretaieion University Hospital, Athens, Greece.

We present a unique case of a 16-year-old male patient who was eventually diagnosed with a large enterolith arising from a Meckel's diverticulum. The enterolith had caused intermittent intestinal symptoms for three years before resulting in small bowel obstruction requiring surgical intervention. Meckel's enterolith ileus is very rare with only few cases described in the literature. Read More

Rev Esp Enferm Dig 2018 Mar;110(3):210-211

Digestivo, Hospital Universitario Son Espases, España.

Meckel's diverticulum is present in 2% of the general population and its inverted presentation is rare. The most frequent complications are gastrointestinal hemorrhage, obstruction, intussusception and perforation. In general, these complications occur in the first two decades of life, and mostly before the fourth decade. Read More

Indian J Crit Care Med 2017 Nov;21(11):789-792

Department of Pediatrics, CSI Kalyani Hospital, Chennai, Tamil Nadu, India.

Meckel's diverticulum is a remnant of the proximal part of the vitellointestinal duct and is the most common congenital anomaly of the gastrointestinal tract. It may either remain asymptomatic or present with myriad of clinical presentations. Gastrointestinal bleeding is the most common presentation in children whereas it is intestinal obstruction in the case of adults. Read More

Rev Esp Enferm Dig 2018 Jan;110(1):66-67

Digestive System Department, The First Affiliated Hospital of Nanjing Medical University, China.

We present one case of a 17-year-old male with ten-year history of anemia complaining of recurrent bloody stools, abdominal pain and fatigue for 3 months.The gastroscopy, colonoscopy, the-first-time double-balloon enteroscopy (DBE) through the anus and capsule endoscopy were performed with negative results. 99mTc-pertechnetate scan showed a round-like high radioactive concentration at the ileocecum. Read More

J Nucl Med Technol 2017 Nov 10. Epub 2017 Nov 10.

Shahid Beheshti University of Medical Sciences, Iran, Islamic Republic of.

Quality control and technical issues are essential for high-quality imaging. An important technical parameter of image acquisition is selecting zoom factor according to camera field-of-view dimensions and patient's body size. Here, we present a case of atypically located Meckel's diverticulum mimicking bladder on Meckel scan. Read More

Eur J Radiol 2017 Nov 14;96:27-30. Epub 2017 Sep 14.

Department of Radiology, Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland. Electronic address:

Background: The reported accuracy of pertechnetate scintigraphy (Meckel scan) in investigating children with a bleeding Meckel's diverticulum has increased steadily since it was first introduced into clinical practice in 1970. Recent studies have indicated that the examination has a sensitivity of up to 94% and a specificity of up to 97% in this scenario. There have also been several misleading reviews from Departments of Surgery, suggesting that the Meckel scan has a poor predictive value, and should not be relied upon to exclude a bleeding Meckel's Diverticulum (MD). Read More

Clin Nucl Med 2017 Dec;42(12):985-987

From the *Department of Nuclear Medicine, The Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia, China; †Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA; and ‡Faculty of Medicine, University of Freiburg, Freiburg, Germany.

Meckel scintigraphy with Tc-pertechnetate was performed in a 5-year-old boy to determine whether a Meckel diverticulum containing ectopic gastric mucosa caused bleeding. The images did not reveal focal activity characteristic of a Meckel diverticulum. Unexpectedly, activity in the tracheobronchial tree was visualized, consistent with aspiration of the radioactive saliva. Read More

BMJ Case Rep 2017 Oct 20;2017. Epub 2017 Oct 20.

Digestive Diseases Specialty, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK.

A Littre's hernia is an unusual phenomenon where a Meckel's diverticulum protrudes through a potential abdominal opening. We wish to present a unique case of a 79-year-old man with respiratory distress following a fall from standing, initially managed as a haemothorax. After a chest drain was placed, bowel contents were drained from the pleural cavity and he was taken to theatre. Read More

Tunis Med 2016 Nov;94(11):702

Tunis Med 2016 Oct;94(10):629-631

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. Read More

AJR Am J Roentgenol 2017 Nov 23;209(5):W287-W296. Epub 2017 Aug 23.

1 Department of Radiology, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 N St. Clair St, Ste 800, Chicago, IL 60611.

Objective: Meckel diverticulum may become symptomatic if it is complicated by hemorrhage, intestinal obstruction, diverticulitis, or tumor. Although classically described in children, it is often missed in adults because of lack of suspicion and difficulty in detection. The purpose of this article is to review the imaging findings and management of Meckel diverticulum and its complications. Read More

Medicine (Baltimore) 2017 Aug;96(32):e7760

aDepartment of Pediatric Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University bDepartment of Pediatric Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Meckel diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract in children. The aim of this study was to review and analyze clinical data on the diagnosis and management of Meckel diverticulum in pediatric patients. The records of 102 pediatric patients (<14 years old) who underwent surgery for Meckel diverticulum at our institute between 2001 and 2015 were reviewed. Read More

J Gastrointest Surg 2017 Dec 25;21(12):2126-2128. Epub 2017 Jul 25.

Diagnostic Radiology and Molecular Imaging, Beaumont Health, Oakland University William Beaumont School of Medicine, 3601 W 13 Mile Rd, Royal Oak, MI, 48073, USA.

A Meckel's diverticulum is a vestigial remnant present in approximately 2% of the population. Fewer than 10% of patients with a Meckel's diverticulum develop clinical complications, and such findings are exceedingly rare in the geriatric population. We present a case of perforated Meckel's diverticulitis with a fistulous tract involving the anterior abdominal wall in an 85-year-old male. Read More

J Visc Surg 2017 Sep 9;154(4):253-259. Epub 2017 Jul 9.

Service de chirurgie viscérale et digestive, CHU de Caen, avenue de la Côte-de-Nacre, 14000 Caen, France.

Meckel's diverticulum (MD) is the most common gastro-intestinal congenital malformation (approximately 2% in the overall population). The lifetime risk of related complications is estimated at 4%. These include gastro-intestinal bleeding, obstruction or diverticular inflammation. Read More

Tunis Med 2016 Oct;94(8-9):629-631

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. Read More

Eur J Radiol 2017 Aug 3;93:209-216. Epub 2017 Jun 3.

Department of Emergency Radiology, "La Sapienza" University of Rome, 00161 Rome, Italy.

Objectives: To evaluate the performance of Magnetic Resonance enterography (MRE) in the diagnostic work-up of children presenting with obscure gastrointestinal bleeding (OGIB).

Materials And Methods: From January 2014 to January 2016, a single-centre prospective study was performed on all children between 0 and 16 years of age referred to the radiology department for OGIB. Each child underwent MRE examination after negative oesophagogastroduodenoscopy and ileocolonoscopy. Read More

J Radiol Case Rep 2017 Mar 31;11(3):22-29. Epub 2017 Mar 31.

Department of Radiology, Santa Barbara Cottage Hospital, Santa Barbara, CA, USA.

A Meckel's diverticulum was diagnosed by mesenteric angiography in a 34 year-old patient who presented with hematochezia and dropping hemoglobin. The case demonstrates the challenges often encountered in workup of occult gastrointestinal (GI) bleeding, and shows that angiographic diagnosis of Meckel's diverticulum is possible, even in the absence of angiographic evidence of active extravasation. Our patient had a previous non-diagnostic workup including upper and lower endoscopy, videocapsulography, and Technetium-99m pertechnetate (Tc-99m) scintigraphy. Read More

Diagn Interv Imaging 2017 Jul - Aug;98(7-8):569-570. Epub 2017 Apr 13.

Center for Prenatal Diagnosis, La Timone Children Hospital, 13000 Marseille, France; Department of Prenatal and Pediatric Imaging, La Timone Children Hospital, 13000 Marseille, France. Electronic address:

BMC Surg 2017 Apr 11;17(1):36. Epub 2017 Apr 11.

International Medical Center, Jeddah, Saudi Arabia.

Background: Meckel's diverticulum is the most common congenital malformation of the gastrointestinal tract, and it represents a persistent remnant of the omphalomesenteric duct. Although it mostly remains silent, its infrequent occurrence is mirrored by the paucity of large series of data on it in the literature. Hemorrhage, obstruction and inflammation are most common complications of Meckel's diverticulum. Read More

Rev Esp Enferm Dig 2017 Apr;109(4):295-296

Aparato Digestivo, Complejo Hospitalario de Navarra, España.

A 28-year-old man diagnosed with Charge syndrome and no history of NSAIDs ingestion was referred due to the presentation in the previous 24 h of melenic stools with a negative upper endoscopy. Physical examination was unremarkable, although laboratory tests showed anemia. On the second day, significant painless rectal bleeding and the decrease of hematocrit levels responding to blood transfusion were observed, so colonoscopy was recommended but completely rejected by the patient. Read More

N Engl J Med 2017 03;376(13):1269-1277

From the Departments of Emergency Medicine (L.M.A.), Radiology (R.L.), Surgery (A.M.G.), and Pathology (J.K.L.), Massachusetts General Hospital, and the Departments of Emergency Medicine (L.M.A.), Radiology (R.L.), Surgery (A.M.G.), and Pathology (J.K.L.), Harvard Medical School - both in Boston.

Radiology 2017 Apr;283(1):303-307

From the Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, 1161 21st Ave S, MCN CCC-1118, Nashville, TN 37232-2675.

History A previously healthy 28-year-old man developed right lower quadrant pain while traveling. The pain progressed over the course of 2-3 days, and his family took him to a local emergency department. He was found to have an elevated white blood cell count of 12. Read More

Hell J Nucl Med 2017 Jan-Apr;20(1):11-16. Epub 2017 Mar 20.

Department of Nuclear Medicine, Children's Hospital of Fudan University, No. 399 Wanyuan Road, Minhang District, Shanghai 201102, China.

Objective: Meckel's diverticulum scintigraphy (MDS) is a common method for diagnosing ectopic gastric mucosa (EGM), but atypical images are difficult to diagnose. This study aimed to improve the understanding of the existing diagnostic criteria through a review of confirmed cases.

Subjects And Methods: A total of 352 patients underwent MDS. Read More

Radiographics 2017 Mar-Apr;37(2):484-499

From the Department of Radiology, University of Utah, 30 North 1900 East, #1A71, Salt Lake City, UT 84132 (M.R., J.D.O., A.M.S.); Department of Radiology, Mayo Clinic, Scottsdale, Ariz (C.M.); Department of Radiology, Indiana University School of Medicine, Indianapolis, Ind (K.S.); and Department of Radiology, MD Anderson Cancer Center, Houston, Tex (K.M.E.).

Heterotopic pancreas is a congenital anomaly in which pancreatic tissue is anatomically separate from the main gland. The most common locations of this displacement include the upper gastrointestinal tract-specifically, the stomach, duodenum, and proximal jejunum. Less common sites are the esophagus, ileum, Meckel diverticulum, biliary tree, mesentery, and spleen. Read More

Rev Esp Enferm Dig 2017 Apr;109(4):315

Wenzhou Central Hospital.

Meckel diverticulum (MD) is a common small intestinal malformation. The difficulty of MD with hemorrhage treatment lies in preoperative diagnosis. Wireless capsule endoscopy (WCE) and double-balloon enteroscopy (DBE) have been widely used to diagnose and treat diseases of the small intestine, but only rarely have they been used in combination to diagnose and treat bleeding MD. Read More

Endoscopy 2017 Feb 30;49(S 01):E66-E67. Epub 2017 Jan 30.

Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan.

Gan To Kagaku Ryoho 2016 Nov;43(12):1851-1853

Dept. of Surgery, Nissan Tamagawa Hospital.

A 63-year-old man visited an emergency outpatient unit with the chief complaints of melena and lightheadedness. At the time of the visit, blood tests showed Hb of 4.3 g/dL, suggesting severe anemia, and he exhibited repeated melena, even after hospitalization. Read More

Medicine (Baltimore) 2016 Oct;95(41):e5159

aDepartment of Radiology bDepartment of Pediatric Surgery cDepartment of Pathology, The First Affiliated Hospital of Sun Yat-sen University dDepartment of Maternal and Child Health, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China.

Introduction: Meckel diverticulum (MD) is the most common congenital abnormality of gastrointestinal tract. Tough believed to occur in 2% of population, most of them remain veiled because majority are clinically asymptomatic and remain obscure in radiological examination.

Clinical Findings And Diagnosis: A 26-year-old male with episodic black colored stool since last 10 years. Read More

PLoS One 2016 14;11(9):e0162615. Epub 2016 Sep 14.

Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background And Aims: Various modalities have been used to diagnose Meckel's diverticulum (MD) in practice, but with their diagnostic accuracy deemed to be unsatisfactory for clinical practice. Moreover, the usefulness of these modalities has not been evaluated for the diagnosis of bleeding MD in adults, due to the relative rarity of this condition. Therefore, the aim of our multicenter study was to determine the most accurate modality for the preoperative diagnosis of bleeding MD in adults. Read More

J Med Imaging Radiat Oncol 2017 Apr 4;61(2):225-231. Epub 2016 Aug 4.

Department of Radiology, Soonchunhyang University Gumi Hospital, Gumi, Korea.

Meckel's diverticulum is the most frequent congenital malformation of the gastrointestinal tract, occurring in 2% of the general population. Meckel's diverticulum is usually asymptomatic and found incidentally. However, the lifetime risk of complications is 4-40%. Read More

Srp Arh Celok Lek 2016 Mar-Apr;144(3-4):219-21

Introduction: Meckel's diverticulum is the most common congenital anomaly of the gastro intestinal tract, present in about 2% of population.

Case Outline: The article presents the case of a 44-year-old otherwise healthy man with anemia, who was diagnosed lower gastrointestinal bleeding. An abdominal CT scan revealed a clearly demarcated solid tumor in hypogastric region, measuring 65 x 45 mm. Read More

Pediatr Emerg Care 2016 Jul;32(7):493-5

From the Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, PA.

Afr J Paediatr Surg 2016 Jan-Mar;13(1):47-9

Department of Pediatric Surgery, Dolphin Children's Hospital, Hyderabad, Telangana, India.

Congenital diaphragmatic hernia (CDH) is a common developmental anomaly that usually presents in the neonatal period. It is known to be associated with cardiac, renal, genital and chromosomal anomalies. Late presentation of CDH (beyond 1-month of age) is seen in 13% of the cases. Read More

AJR Am J Roentgenol 2016 Aug 25;207(2):424-33. Epub 2016 May 25.

1 The Children's Hospital of Philadelphia, 324 S 34th St, Philadelphia, PA 19104.

Objective: The objective of this study was to identify causes of irreducible intussusception after contrast enema and to correlate imaging findings with surgical and histopathologic findings.

Materials And Methods: Between 2005 and 2013, a total of 543 children underwent reduction of intussusception with the use of an enema technique (hereafter referred to as "enema reduction"). The medical records of 72 children (56 boys [mean age, 24. Read More