title: Difficulty in identifying a bleeding Meckel's diverticulum: case report and review of the literature.
abstract: Meckel's diverticulum is the most commonly occurring congenital anomaly of the gastrointestinal tract. Diagnosis is usually made by scintigraphy using 99Tc(m) pertechnetate, with low accuracy in adults. We describe a case report and review the literature for difficulties in identifying a recurrent bleeding Meckel's diverticulum. Our patient had a "bladder diverticulum" on scintigraphy, which led to delay in diagnosis. The use of bladder lavage during scintigraphy may assist in distinguishing a Meckel's diverticulum from a bladder diverticulum.
authors.affiliation: Saint Mary's Hospital, The Stanley J. Dudrick Department of Surgery, Waterbury, USA.
authors.forename: Robert A
authors.initials: RA
authors.lastname: Brenes
authors.forename: Hussain M A
authors.initials: HM
authors.lastname: Abbas
authors.forename: J Alexander
authors.initials: JA
authors.lastname: Palesty
authors.forename: Guiseppe
authors.initials: G
authors.lastname: Tripodi
mesh_terms: D000328:Adult; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008467:Meckel Diverticulum / Q000150:complications* / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D013670:Sodium Pertechnetate Tc 99m; D014057:Tomography, X-Ray Computed
chemical_list: D013670:Sodium Pertechnetate Tc 99m