title: Clinical Features of Symptomatic Meckel's Diverticulum in Children: Comparison of Scintigraphic and Non-scintigraphic Diagnosis.
abstract: OBJECTIVE
  Meckel's diverticulum (MD) has various clinical manifestations, and diagnosis or selectection of proper diagnostic tools is not easy. This study was conducted in order to assess the clinical differences of MD diagnosed by scintigraphic and non-scintigraphic methods and to find the proper diagnostic tools.
  
  
  METHODS
  We conducted a retrospective review ofthe clinical, surgical, radiologic, and pathologic findings of 34 children with symptomatic MD, who were admitted to Gachon University Gil Medical Center, Inha University Hospital, and The Catholic University of Korea, Incheon St. Mary's Hospital between January 2000 and December 2012. The patients were evaluated according to scintigraphic (12 cases; group 1) and non-scintigraphic (22 cases; group 2) diagnosis.
  
  
  RESULTS
  The male to female ratio was 7.5: 1. The most frequent chief complaint was lower gastrointestinal (GI) bleeding in group 1 and nonspecific abdominal pain in group 2, respectively. The most frequent pre-operative diagnosis was MD in both groups. Red blood cell (RBC) index was significantly lower in group 1. MD was located at 7 cm to 85cm from the ileocecal valve. Four patients in group 1 had ectopic gastric tissues causing lower GI bleeding. The most frequent treatment modality was diverticulectomy in group 1 and ileal resection in group 2, respectively.
  
  
  CONCLUSIONS
  To diagnose MD might be delayed unless proper diagnostic tools are considered. It is important to understand indications of scintigraphic and non-scintigraphic methods according to clinical and hematologic features of MD. Scintigraphy would be weighed in patients with anemia as well as GI symptoms.
authors.affiliation: Department of Pediatrics, Gachon University Gil Medical Center, Incheon, Korea.
authors.forename: Jung Hee
authors.initials: JH
authors.lastname: Rho
authors.forename: Jae Sook
authors.initials: JS
authors.lastname: Kim
authors.forename: Sang Yong
authors.initials: SY
authors.lastname: Kim
authors.forename: Soon Ki
authors.initials: SK
authors.lastname: Kim
authors.forename: Yoon Mi
authors.initials: YM
authors.lastname: Choi
authors.forename: Seong Min
authors.initials: SM
authors.lastname: Kim
authors.forename: Sung Min
authors.initials: SM
authors.lastname: Kim
authors.forename: Hann
authors.initials: H
authors.lastname: Tchah
authors.forename: In Sang
authors.initials: IS
authors.lastname: Jeon
authors.forename: Dong Woo
authors.initials: DW
authors.lastname: Son
authors.forename: Eell
authors.initials: E
authors.lastname: Ryoo
authors.forename: Kang Ho
authors.initials: KH
authors.lastname: Cho
authors.forename: Deok Young
authors.initials: DY
authors.lastname: Choi
authors.forename: Yun Mi
authors.initials: YM
authors.lastname: Kim
authors.forename: Yoon Mi
authors.initials: YM
authors.lastname: Kim
keywords: Child; Diagnosis; Meckel's diverticulum; Meckel's scan; Radionuclide imaging; Scintigraphy