Color Doppler sonographic findings of inflamed and perforated Meckel diverticulum.
OBJECTIVE
To describe color Doppler sonographic findings in 2 cases of inflamed and perforated Meckel diverticulum.


METHODS
Two patients with inflamed and perforated Meckel diverticulum underwent color Doppler sonographic studies.


RESULTS
Gray scale sonographic examination identified a fixed cystlike structure with a gut signature surrounded by a hyperechoic layer. Color Doppler sonography revealed hyperemia in the diverticular wall and hyperechoic layer, which was more intense in 1 patient.


CONCLUSIONS
Identification of a fixed cystlike structure with a gut signature and wall hyperemia suggests the diagnosis of inflamed Meckel diverticulum; when a hyperechoic layer surrounds this structure, perforation of the diverticulum should be suspected.
Baldisserotto
Matteo
M
Department of Radiology, Hospital da Criança Conceição-Ministério da Saúde, Porto Alegre, Brazil. matteo@via-rs.net
D000208:Acute Disease; D001064:Appendicitis / Q000175:diagnosis; D002648:Child; D003937:Diagnosis, Differential; D004238:Diverticulitis / Q000175:diagnosis / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007223:Infant; D007416:Intestinal Perforation / Q000175:diagnosis / Q000000981:diagnostic imaging*; D008297:Male; D008467:Meckel Diverticulum / Q000175:diagnosis / Q000000981:diagnostic imaging*; D018615:Ultrasonography, Doppler, Color