Search Our Scientific Publications & Authors

J Emerg Med 2020 Apr 18. Epub 2020 Apr 18.

Department of Pediatrics, University of California, San Francisco, San Francisco, California; Department of Emergency Medicine, University of California, San Francisco, San Francisco, California.

Background: Abdominal pain is a common presenting symptom with a broad array of potential etiologies. Meckel diverticulum (MD), the most common congenital gastrointestinal malformation, classically presents with painless gastrointestinal bleeding. However, it can also lead to diverticulitis, intussusception, or obstruction, manifesting as abdominal pain. Read More

Can Assoc Radiol J 2020 May 5;71(2):149-153. Epub 2020 Feb 5.

Department of Radiology, University of Yamanashi, Chuo-shi, Yamanashi, Japan.

Meckel diverticulum is the most common and well-known congenital anomaly of the digestive system. Although most cases are asymptomatic, Meckel diverticulum can have a variety of complications, including gastrointestinal bleeding as a result of peptic ulceration, diverticulitis, and small bowel obstruction. Although the radiologic findings of these complications have been reported, they are difficult to diagnose preoperatively because Meckel diverticulum is a small entity. Read More

Clin Nucl Med 2020 Mar;45(3):232-233

From the Division of Nuclear Medicine.

We present the case of a 13-year-old boy with bleeding complications from a Meckel diverticulum (MD), which was scintigraphically confirmed. A first exploratory laparoscopy was unsuccessful in identifying the diverticulum. A new Tc-pertechnetate scintigraphy (including SPECT/CT), 3 years later, suggested the anatomical location and was helpful during the surgical exploration for the MD by radioguided surgery. Read More

Curr Gastroenterol Rep 2020 Jan 13;22(1). Epub 2020 Jan 13.

Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway.

Purpose Of Review: Meckel's diverticulum may be detected incidentally or present with symptoms from infancy and to old age. The presentation may be acute, with several complications associated with the condition. We aim to review the many faces with which a Meckel's diverticulum may present, either symptomatically or as an incidental finding. Read More

Clin Nucl Med 2020 Feb;45(2):154-155

From the Department of Nuclear Medicine, The Affiliated Hospital of Zunyi Medical University, Zunyi.

A boy aged 1 year 8 months underwent Tc-pertechnetate scintigraphy to evaluate the cause of bloody stool. On the initial images, there was an abnormal activity in the right abdomen, which changed location to the right groin in later images. A Meckel diverticulum was identified by histopathology examination. Read More

Pediatr Emerg Care 2019 Dec;35(12):881-883

From the Department of Paediatric Surgery, Cambridge University Hospitals NHS Foundation Trust.

Perforation of a Meckel diverticulum in a preterm neonate is very rare. To our knowledge, only 7 cases of spontaneous Meckel perforation in a preterm neonate have previously been described in the literature. The etiology is uncertain. Read More

Medicine (Baltimore) 2019 Nov;98(44):e17691

Department of gastroenterology, First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.

Background: Ectopic pancreas in the ileum, including lesions within Meckel diverticulum, can cause severe manifestations and complications; yet, it was seldom reported in English literature.

Aim: This study aimed to raise awareness and provide information for better clinical management of this rare yet serious condition.

Methods: A total of 1713 cases of small bowel resection were performed in our hospital between 2009 and 2018, among which 10 cases of ileac ectopic pancreas were identified. Read More

BMJ Case Rep 2019 Sep 18;12(9). Epub 2019 Sep 18.

Department of General Surgery, Whipps Cross University Hospital, London, UK.

Meckel's diverticulum is the most common congenital abnormality affecting the gastrointestinal tract, affecting 4% of the general population. It is classically located on the antimesenteric border of the ileum within 100 cm of the ileocaecal valve. Complications may include haemorrhage, bowel obstruction, diverticulitis, perforation and malignancy. Read More

Gastroenterol Hepatol 2019 Nov 5;42(9):566-567. Epub 2019 Sep 5.

Complejo Hospitalario de Navarra, Pamplona, Navarra, España.

Pediatr Surg Int 2019 Nov 12;35(11):1197-1210. Epub 2019 Jul 12.

Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, 226014, India.

Purpose: This exclusively surgical series on pediatric non-variceal gastrointestinal bleed (NVGIB) defines three levels of bleed site and describes etiology, bleed severity, diagnostic algorithm, and surgical management for each bleed site. Management challenges are detailed.

Methods: Patients aged ≤ 18 years treated surgically for NVGIB were analysed. Read More

Ochsner J 2019 ;19(2):166-168

The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA.

Meckel diverticulum is the most common congenital gastrointestinal malformation, but it is rarely symptomatic. Peritoneal encapsulation is a rare abnormality of embryonic development and may present with obstruction, although it too is usually asymptomatic. We report the case of an 82-year-old male who presented with symptoms and imaging findings consistent with small bowel obstruction. Read More

Gastrointest Endosc 2019 11 17;90(5):855-856. Epub 2019 Jun 17.

Division of Gastroenterology, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.

Rofo 2019 Dec 13;191(12):1118-1120. Epub 2019 Jun 13.

Institut für Radiologie und Nuklearmedizin, Landesklinikum Horn, Austria.

Pediatr Emerg Care 2019 Jul;35(7):e128-e130

Radiology, Newark Beth Israel Medical Center, Newark, NJ.

Lower gastrointestinal bleeding in infants and children is a symptom with a broad differential diagnosis. The diagnosis depends on the quantity and quality of the bleeding and on the patient's age. We describe a case of a 10-month-old infant who presented to our pediatric emergency department 4 times with lower gastrointestinal bleeding before a diagnosis of Meckel diverticulum was made. Read More

J Gastroenterol Hepatol 2019 Oct 30;34(10):1673. Epub 2019 May 30.

Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Eur J Radiol Open 2019 28;6:165-168. Epub 2019 Apr 28.

Department of Radiology, University of South Alabama, Chief of Nuclear Imaging, 2451 USA Medical Center Dr. Mobile, AL, United States.

This is a case report documenting the risk in imaging misinterpretation of a pediatric patient that presented with an acute abdomen. Computed Tomography (CT) demonstrated an inflamed blind ending loop of bowel in the pelvis without an obvious cecal connection. The patient was taken to the operative theater, a normal appendix and perforated Meckel's diverticulitis were resected. Read More

Radiologia 2019 Jul - Aug;61(4):297-305. Epub 2019 Apr 8.

Departamento de Radiología, Hospital Universitari Vall d'Hebron, Barcelona, España.

Objective: To review the embryology, the clinical findings and the appearance in multidetector computed tomography (MDCT) of complicated Meckel's diverticulum (DM) in adults.

Conclusion: The presence of an MD in a MDCT should be suspected when a blind tubular structure connected to the terminal ileum by a neck of variable size is observed. Multiplanar 2D reconstructions images and CT enterography can help in the diagnosis. Read More

Cir Esp 2019 Nov 8;97(9):531. Epub 2019 Mar 8.

Servicio de Coloproctología, Hospital Juan Ramón Jiménez, Huelva, España.

J Coll Physicians Surg Pak 2019 Mar;29(3):276-277

Department of General Surgery, Nishtar Hospital, Multan, Pakistan.

Small bowel obstruction secondary to phytobezoars is a rare presentation in surgery. These are masses of undigested food and vegetables, which obstruct the narrowest part of gut. We discuss a case of a young patient presenting in emergency department with history of acute abdominal pain, distension and constipation. Read More

Indian J Pediatr 2019 09 21;86(9):817-829. Epub 2019 Feb 21.

Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, 110029, India.

The bowel is a challenging abdominal organ to image. A variety of bowel disorders such as congenital, developmental, inflammatory, infectious and neoplastic lesions can affect children and most of them are either unique to this age group or have a distinct clinico-radiological appearance compared to adults. Imaging forms an integral part of management of these disorders. Read More

Clin Nucl Med 2019 May;44(5):417-419

Department of Radiology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.

Positive gastric mucosa Meckel diverticulum generally shows nonmoving activity in the right abdomen, which appears early in the study at about the same time of the appearance of the stomach. However, a stoma from ileostomy can result in similar findings on dynamic images. The difference between a true Meckel diverticulum and stoma can be exposed by lateral views. Read More

Cir Esp 2019 Aug - Sep;97(7):405. Epub 2019 Jan 22.

Servicio de Cirugía General, del Aparato Digestivo y Trasplante de Órganos Abdominales, Hospital Universitario Doce de Octubre, Madrid, España.

Acta Gastroenterol Belg 2018 Oct-Dec;81(4):534-537

Department of Gastroenterology, AZ Klina, Brasschaat, Belgium.

Meckel's diverticulum is the most common congenital gastrointestinal malformation and may present with bleeding, obstruction and diverticulitis. Symptomatic Meckel's diverticulum is associated with age <50 years, male gender, diverticular length > 2 cm and ectopic mucosa. Formation of enteroliths is a rare complication of Meckel's diverticulum and the majority of stones will remain in the diverticulum. Read More

Scand J Gastroenterol 2019 Jan 13;54(1):122-127. Epub 2019 Jan 13.

b Department of Gastroenterology , Peking University Third Hospital , Beijing , PR China.

Objective: We described a case series of patients diagnosed with Meckel's diverticulum using capsule endoscopy (CE), reviewed the literature, and aimed to reveal the common CE characteristics of Meckel's diverticulum.

Materials And Methods: We reviewed a case series of Meckel's diverticulum in the Department of Gastroenterology, Beijing Shijitan Hospital Affliated to the Capital Medical University. In each case, primary upper endoscopy and colonoscopy failed to reveal a reason to explain the complaints (hematochezia in three cases and abdominal pain in one). Read More

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

Ann Emerg Med 2019 01;73(1):e7-e8

Division of Pediatric Emergency Medicine, Department of Pediatrics, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada.

Arq Bras Cir Dig 2018 Dec 6;31(4):e1409. Epub 2018 Dec 6.

Centro Hospitalar de São João, Gastroenterologia, Porto, Portugal.

J Comput Assist Tomogr 2019 Mar/Apr;43(2):220-227

Department of Radiology, Suzhou Hospital, Nanjing Medical University, Suzhou.

Objective: The aim of this study was to evaluate the computed tomography enterography (CTE) characteristics of bleeding Meckel diverticulum.

Methods: The CTE images of 35 patients with Meckel diverticulum and gastrointestinal bleeding were retrospectively evaluated.

Results: Meckel diverticulum was visualized in 33 of 35 patients and located in the right lower abdomen (20/33), midline lower abdomen (8/33), left lower abdomen (3/33), or paramedially near the umbilicus (2/33). Read More

Cir Esp 2019 Jun - Jul;97(6):343. Epub 2018 Nov 20.

Servicio de Cirugía General y del Aparato Digestivo, Hospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, España.

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

ANZ J Surg 2019 Apr 24;89(4):442-443. Epub 2018 Oct 24.

Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore.

Acta Gastroenterol Belg 2018 Jul-Sep;81(3):367-372

Faculty of Medicine, The Hashemite University, Zarqa, Jordan.

Background And Study Aims: Intussusception in adults often remains unrecognized. Our aim was to report our experience with this entity to determine the usefulness of CT scan in its preoperative diagnosis.

Patients And Methods: The medical records and imaging studies of all patients ≥16 years of age with intussusception, who were managed at our hospitals, were retrospectively reviewed. Read More

Ultrasound Obstet Gynecol 2019 Aug;54(2):276-277

Maternal Fetal Medicine, Sunshine Hospital, Western Health, Melbourne, Australia.

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

Isr Med Assoc J 2018 Jul;20(7):461-462

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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

Clin J Gastroenterol 2018 Dec 18;11(6):476-480. Epub 2018 Jun 18.

Department of Surgery, Hitachi General Hospital, 2-1-1 Jonan-cho, Hitachi, Ibaraki, 317-0077, Japan.

While there have been numerous reports about colovesical fistulas and ruptured intestinal diverticula, there have been far fewer reports about vesicointestinal fistulas caused by Meckel's diverticula. Most Meckel's diverticula are asymptomatic. Furthermore, they seldom cause vesicointestinal fistulas, and the associated complications are non-specific. 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.

Endoscopy 2018 08 12;50(8):E205-E207. Epub 2018 Jun 12.

Department of Hepato-Gastroenterology, Amiens University Hospital, Amiens, 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

N Z Med J 2018 05 4;131(1474):74-76. Epub 2018 May 4.

General Surgery Consultant, Department of General Surgery, Christchurch Public Hospital, Christchurch.

We report a case of a patient presenting with small bowel obstruction secondary to an enteric ileal duplication cyst. Although common in infancy, they are rarely seen in adults. Radiologically they may be difficult to distinguish from a Meckel diverticulum and often the diagnosis is made retrospectively. Read More

Rev Gastroenterol Mex 2019 Jan - Mar;84(1):112-114. Epub 2018 Apr 5.

Sección de Coloproctología, Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Central de Asturias, Oviedo, España.

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

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