A moving Meckel's diverticulum on Tc-99m pertechnetate imaging in a patient with lower gastrointestinal bleeding.
Meckel's diverticulum is one of the most common causes of lower gastrointestinal hemorrhage in the young. We report a case of a 16-year-old youth who presented with a 3-day history of bright red bleeding per rectum. Clinical examination revealed pallor but nothing else of note. The patient had a hemoglobin of 9 G% on admission. Tc-99m pertechnetate scintigraphy was performed and demonstrated an abnormal focus in the pelvis on the right that changed in position during the course of imaging. A laparotomy was done and a 5 x 2-cm Meckel's diverticulum was removed from the ileum. Histopathologic examination revealed heterotopic gastric mucosa of the body type. The patient recovered fully after operation.
Department of Nuclear Medicine, Jezeira Hospital, Abu Dhabi, UAE. bruceka@emirates.net.ae
Bruce K
BK
Adams
Abdulazim
A
Abudia
Salim
S
Awadh
D000293:Adolescent; D002828:Choristoma / Q000150:complications; D005753:Gastric Mucosa; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013670:Sodium Pertechnetate Tc 99m
D019275:Radiopharmaceuticals; D013670:Sodium Pertechnetate Tc 99m