Complicated Meckel's diverticulum diagnosed preoperatively in three cases by complementing CT with detailed us studies.
The clinical and imaging features of Meckel's diverticulum of the adult are reviewed through the report of three complicated cases, one presenting with perforation, the second with intestinal bleeding, and the third with intestinal occlusion due to phytobezoar impaction. Intradiverticular heterotopy of gastric mucosa was the responsible common denominator for the first two cases. Intradiverticular calcified entheroliths were also found in the second case. Obstruction due to a phytobezoar as observed in the third case is a very rare presentation. This report clearly emphasizes and encourages the approach of this difficult diagnosis by combined CT and US imaging.
Coulier
B
B
Department of Diagnostic Radiology, Clinique St Luc, Bouge (Namur) Belgium.
Sergeant
L
L
Maldague
Ph
P
Ramboux
A
A
Broze
B
B
Hamels
J
J
D000328:Adult; D001630:Bezoars / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D002114:Calcinosis / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D002828:Choristoma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005753:Gastric Mucosa; D006801:Humans; D007082:Ileum / Q000473:pathology / Q000601:surgery; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography