Internal hernia associated with Meckel's diverticulum in 2 pediatric patients.
We report 2 pediatric cases of small bowel obstruction due to a Meckel's diverticulum complicated with internal hernia. Abdominal multidetector computed tomograms with multiple planar reconstructions revealed a bridge-like lesion with inconspicuous mucosal folds in the right lower quadrant formed by adhesion of the tip of Meckel's diverticulum with the adjacent mesentery, with ileal loops converging at the "bridge" and engorged mesenteric vessels. These 2 cases highlight the feasibility of multidetector computed tomography, especially in the ED, in revealing this unusual etiology of small bowel obstruction.
Ko
Sheung-Fat
SF
Department of Radiology, College of Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University, Kaohsiung, Kaohsiung Hsien 833, Taiwan. sfatko@adm.cgmh.org.tw
Tiao
Miao-Ming
MM
Huang
Fu-Chen
FC
Hsieh
Chie-Song
CS
Huang
Chung-Cheng
CC
Ng
Shu-Hang
SH
Wan
Yung-Liang
YL
Lee
Tze-Yu
TY
D015746:Abdominal Pain / Q000209:etiology; D002648:Child; D002675:Child, Preschool; D004108:Dilatation, Pathologic; D006547:Hernia / Q000000981:diagnostic imaging; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007082:Ileum / Q000000981:diagnostic imaging / Q000473:pathology*; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014839:Vomiting / Q000209:etiology