title: Radioguided surgery in Meckel's diverticulum.
abstract: We analyze the case of a patient with intermittent episodes of lower gastrointestinal bleeding and suspected Meckel's diverticulum, whose presence was confirmed by (99m)Tc-pertechnetate scintigraphy. A previous exploratory laparotomy had been performed without finding the diverticulum. In spite of years of medical treatment, the patient presented a new episode of lower gastrointestinal bleeding with normal colonoscopy. A new (99m)Tc-pertechnetate scintigraphy (including SPECT/CT) was performed and allowed the anatomical location of a Meckel's diverticulum and enabled its removal by laparoscopic radioguided surgery. The introduction of SPECT/CT in the scintigraphic diagnostic protocol in Meckel's diverticulum increases diagnostic safety and improves lesion location. Furthermore, it favors the performance of radioguided surgery and facilitates the lesion resection, particularly when the patient has suffered previous abdominal surgery, with a more conservative procedure, reducing the morbidity associated with the surgical procedure.
authors.affiliation: Servicio de Medicina Nuclear, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain. Electronic address: sandrita_ayala07@hotmail.com.
authors.forename: S
authors.initials: S
authors.lastname: Ayala
authors.affiliation: Servicio de Medicina Nuclear, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Andrés
authors.affiliation: Servicio de Medicina Nuclear, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain.
authors.forename: E F
authors.initials: EF
authors.lastname: Rambalde
authors.affiliation: Servicio de Cirugía, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Deus
authors.affiliation: Servicio de Medicina Nuclear, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Cáncer
authors.affiliation: Servicio de Medicina Nuclear, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain.
authors.forename: L
authors.initials: L
authors.lastname: Tardin
authors.affiliation: Servicio de Medicina Nuclear, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Banzo
authors.affiliation: Servicio de Medicina Nuclear, Hospital Clínico Universitario "Lozano Blesa", Avda. San Juan Bosco, 15, 50009 Zaragoza, Spain.
authors.forename: E
authors.initials: E
authors.lastname: Prats
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008467:Meckel Diverticulum / Q000000981:diagnostic imaging* / Q000601:surgery*; D025321:Surgery, Computer-Assisted; D015899:Tomography, Emission-Computed, Single-Photon
keywords: (99m)Tc-pertechnetate scintigraphy; Cirugía radiodirigida; Divertículo de Meckel; Gammagrafía con (99m)Tc-pertecnetato; Meckel's diverticulum; Radioguided surgery; SPECT/CT; SPECT/TAC