Laparoscopy as a cause of a false-positive Meckel's scan.
A new cause of a false-positive result of a Meckel's scan is reported. An 11-year-old girl had a 3-week history of constant right lower quadrant pain that was initially managed by laparoscopic appendectomy. A repeated laparoscopy for persistent pain was nondiagnostic. A missed Meckel's diverticulum was considered as the cause of this pain, which prompted a Meckel scan. This scan revealed a periumbilical focus of activity that was interpreted as a Meckel's diverticulum attached to the anterior abdominal wall by a band. The laparotomy showed no Meckel's diverticulum. The false-positive result of the Meckel scan may be the result of inflammation from the periumbilical laparoscopic port site.
McKevitt
E C
EC
Division of Pediatric General Surgery, British Columbia's Children's Hospital, Vancouver, Canada.
Baerg
J E
JE
Nadel
H R
HR
Webber
E M
EM
D015746:Abdominal Pain; D001062:Appendectomy / Q000009:adverse effects*; D001064:Appendicitis / Q000601:surgery*; D002648:Child; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008467:Meckel Diverticulum / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013670:Sodium Pertechnetate Tc 99m