Intestinal neoplasm mimicking a Meckel's diverticulum on scintigraphic imaging.
A 33-year-old man presented with colicky, intermittent, midabdominal pain with nausea and vomiting. A Tc-99m pertechnetate abdominal scan was performed and revealed a focal area of increased uptake in the midabdomen associated with dilated proximal loops of small bowel. Surgery revealed a high-grade partial obstruction of the midportion of the jejunum secondary to an annular adenocarcinoma of the jejunum. This is the first known report of abnormal Tc-99m pertechnetate accumulation in an adenocarcinoma of the small bowel.
Mehall
C J
CJ
Department of Radiology, Wayne State University, Detroit, Michigan.
Klein
R M
RM
Muz
J
J
Davis
L P
LP
D000230:Adenocarcinoma / Q000000981:diagnostic imaging*; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D007580:Jejunal Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D008467:Meckel Diverticulum / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D013670:Sodium Pertechnetate Tc 99m
D013670:Sodium Pertechnetate Tc 99m