Clinical Radiology
Volume 64, Issue 2 , Pages 109-118 , February 2009

Radiological features of Meckel's diverticulum and its complications

  • P.D. Thurley

      Affiliations

    • Departments of Radiology Queens Medical Centre, Nottingham University Hospitals, Nottingham, UK
    • Corresponding Author InformationGuarantor and correspondent: P.D. Thurley, Department of Radiology, Queens Medical Centre, Nottingham University Hospitals, Nottingham NG7 2UH, UK. Tel.: +44 115 9691169; fax: +44 115 9627776.
  • ,
  • K.E. Halliday

      Affiliations

    • Departments of Radiology Queens Medical Centre, Nottingham University Hospitals, Nottingham, UK
  • ,
  • J.M. Somers

      Affiliations

    • Departments of Radiology Queens Medical Centre, Nottingham University Hospitals, Nottingham, UK
  • ,
  • W.I. Al-Daraji

      Affiliations

    • Histopathology, Queens Medical Centre, Nottingham University Hospitals, Nottingham, UK
  • ,
  • M. Ilyas

      Affiliations

    • Histopathology, Queens Medical Centre, Nottingham University Hospitals, Nottingham, UK
  • ,
  • N.J. Broderick

      Affiliations

    • Departments of Radiology Queens Medical Centre, Nottingham University Hospitals, Nottingham, UK

Received 20 March 2008 ,Revised 16 July 2008 ,Accepted 22 July 2008.

References 

  1. Edmonson JM. Johann Friedrich Meckel the younger: Meckel's diverticulum. Gastrointest Endosc. 2001;54:19A–20A
  2. Haubrich WS. Meckel of Meckel's diverticulum. Gastroenterology. 1998;114:542
  3. Das PC, Rao PL, Radhakrishna K. Meckel's diverticulum in children. J Postgrad Med. 1992;38:19–20
  4. Rossini P, Gourtsoyiannis N, Bezzi M, et al. Meckel's diverticulum: imaging diagnosis. AJR Am J Roentgenol. 1996;166:567–573
  5. Park JJ, Wolff BG, Tollefson MK, et al. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950–2002). Ann Surg. 2005;241:529–533
  6. Matsagas MI, Fatouros M, Koulouras B, et al. Incidence, complications, and management of Meckel's diverticulum. Arch Surg. 1995;130:143–146
  7. Levy AD, Hobbs CM. From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic correlation. RadioGraphics. 2004;24:565–587
  8. Bani-Hani KE, Shatnawi NJ. Meckel's diverticulum: comparison of incidental and symptomatic cases. World J Surg. 2004;28:917–920
  9. Leijonmarck CE, Bonman-Sandelin K, Frisell J, et al. Meckel's diverticulum in the adult. Br J Surg. 1986;73:146–149
  10. Kusumoto H, Yoshida M, Takahashi I, et al. Complications and diagnosis of Meckel's diverticulum in 776 patients. Am J Surg. 1992;164:382–383
  11. Elsayes KM, Menias CO, Harvin HJ, et al. Imaging manifestations of Meckel's diverticulum. AJR Am J Roentgenol. 2007;189:81–88
  12. Groebli Y, Morel P. Meckel's diverticulum in adults: retrospective analysis of 119 cases and historical review. Eur J Surg. 2001;167:518–524
  13. Pantongrag-Brown L, Levine MS, Elsayed AM, et al. Inverted Meckel's diverticulum: clinical, radiologic and pathologic findings. Radiology. 1996;199:693–696
  14. Jain TP, Sharma R, Chava SP, et al. Pre-operative diagnosis of Meckel's diverticulum: report of a case and review of literature. Trop Gastroenterol. 2005;26:99–101
  15. Wouter van Es H, Sybrandy R. Case 19: enteroliths in a Meckel diverticulum. Radiology. 2000;214:524–526
  16. Ewing HP, Gear MWL. Enteroliths in Meckels diverticulum misinterpreted as teeth. Br J Surg. 1984;13:965–967
  17. Johnson JF, Lorenzetti RJ, Ballard ET. Plain film identification of inverted Meckel diverticulum. Pediatr Radiol. 1993;23:551–552
  18. Sánchez Alegre ML. Milk of calcium in Meckel's diverticulum. AJR Am J Roentgenol. 2000;174:1466–1467
  19. Ojha S, Menon P, Rao KLN. Meckel's diverticulum with segmental dilatation of the ileum:radiographic diagnosis in a neonate. Pediatr Radiol. 2004;34:649–651
  20. Craig O, Merfitt J. Radiological demonstration of Meckel's diverticulum. Br J Surg. 1980;67:881–883
  21. Dixon PM, Nolan DJ. The diagnosis of Meckel's diverticulum: a continuing challenge. Clin Radiol. 1987;38:615–619
  22. Nolan DJ. The true yield of the small-intestinal barium study. Endoscopy. 1997;29:447–453
  23. Nolan DJ. Where barium scores and other imaging modalities fail. Imaging. 1999;11:133–138
  24. Maglinte DDT, Elmore MF, Isenberg M, et al. Meckel diverticulum: radiologic demonstration by enteroclysis. AJR Am J Roentgenol. 1980;134:925–932
  25. St-Vil D, Brandt ML, Panic S, et al. Meckel's diverticulum in children: a 20-year review. J Pediatr Surg. 1991;26:1289–1292
  26. Kim G, Daneman A, Alton DJ, et al. The appearance of inverted Meckel diverticulum with intusssusception on air enema. Pediatr Radiol. 1997;27:647–650
  27. Navarro OM, Daneman A, Chae A. Intussusception: the use of delayed, repeated reduction attempts and the management of intussusceptions due to pathological lead points in pediatric patients. AJR Am J Roentgenol. 2004;182:1169–1176
  28. Baldisserotto M, Maffazzoni DR, Dora MD. Sonographic findings of Meckel's diverticulitis in children. AJR Am J Roentgenol. 2003;180:425–428
  29. Hwang IK, Namkung S, Kim BS, et al. Perforated ileal duplication cyst with haemorrhagic pseudocyst formation. Pediatr Radiol. 2003;33:489–491
  30. Daneman A, Lobo E, Alton DJ, et al. The value of sonography, CT and air enema for the detection of complicated Meckel diverticulum in children with nonspecific clinical presentation. Pediatr Radiol. 1998;28:928–932
  31. Hughes JA, Hatrick A, Rankin S. Computed tomography findings in an inflamed Meckel diverticulum. Br J Radiol. 1998;71:882–883
  32. Itagaki A, Uchida M, Cleki K, et al. Double target sign in ultrasonic diagnosis of an intussuscepted Meckel diverticulum. Pediatr Radiol. 1991;21:148–149
  33. Portnoy O, Gayer G, Onaca N, et al. Abdominal computerized tomography in the diagnosis of Meckel's diverticulitis in adults. Israeli Med Assoc J. 2001;3:982–983
  34. Mortelé KJ, Govaere F, Pattyn P, et al. Giant Meckel's diverticulum containing enteroliths: typical CT imaging findings. Eur Radiol. 2002;12:82–84
  35. Maglinte DDT, Sandrasegaran K, Lappas JC. CT enteroclysis: techniques and applications. Radiol Clin North Am. 2007;45:289–301
  36. Umschaden HW, Gasser J. MR enteroclysis. Radiol Clin North Am. 2003;41:231–248
  37. Kaltenbach T, Nguyen C, Lau J, et al. Multidetector CT enteroclysis localized a Meckel's diverticulum in a case of obscure GI bleeding. Gastrointest Endosc. 2006;64:441–442
  38. Parrish FJ. Small bowel CT-enteroclysis: technique, pitfalls and pictorial review. Australas Radiol. 2006;50:289–297
  39. Akman C, Korman U, Ogut G, et al. A combination of small bowel imaging methods: conventional enteroclysis with complementary magnetic resonance enteroclysis. Clin Radiol. 2005;60:778–786
  40. Bennett G, Birnbaum BA, Balthazar EJ. CT of Meckel's diverticulitis in 11 patients. AJR Am J Roentgenol. 2004;182:625–629
  41. Danzer D, Gervaz P, Platon A, et al. Bleeding Meckel's diverticulum diagnosis: an unusual indication for computed tomography. Abdom Imaging. 2003;28:631–633
  42. Eglinton T, Fernando C. Bleeding Meckel's diverticulum diagnosed with enterocolysis and mesenteric angiography. N Z Med J. 2004;117:U1133
  43. Mitchell AW, Spencer J, Allison DJ, et al. Meckel's diverticulum: angiographic findings in 16 patients. AJR Am J Roentgenol. 1998;170:1329–1333
  44. Ghahremani GG. Radiology of Meckel's diverticulum. Crit Rev Diagn Imaging. 1986;26:1–43
  45. Hemingway AP, Allison DJ. Angiodysplasia and Meckel's diverticulum: a congenital association?. Br J Surg. 1982;69:493–496
  46. Katz MD, Teitelbaum GP. Angiodysplasia associated with Meckel's diverticulum: case report. Cardiovasc Intervent Radiol. 1991;14:188–190
  47. Steger AC, Galland RB, Hemingway A, et al. Gastrointestinal haemorrhage from a second source in patients with colonic angiodysplasia. Br J Surg. 1987;74:726–727
  48. Saremi F, Jadvar H, Siegel ME. Pharmacological interventions in nuclear radiology: indications, imaging protocols and clinical results. RadioGraphics. 2002;22:477–490
  49. Sfakianakis GN, Conway JJ. Detection of ectopic gastric mucosa in Meckel's diverticulum and in other aberrations by scintigraphy. 1. Pathophysiology and 10-year clinical experience. J Nucl Med. 1981;22:647–654
  50. Ford PV, Bartold SP, Fink-Bennett DM, et al. Procedure guideline for gastrointestinal bleeding and Meckel's diverticulum scintigraphy. J Nucl Med. 1999;40:1226–1232
  51. Fa-Si-Oen PR, Roumen RM, Croiset van Uchelen FA. Complications and management of Meckel's diverticulum – a review. Eur J Surg. 1999;165:674–678
  52. Swaniker F, Soldes O, Hirschi RB. The utility of technetium 99m pertechnetate scintigraphy in the evaluation of patients with Meckel's diverticulum. J Pediatr Surg. 1999;34:760–765
  53. Barron BJ, Robins DB, Lamki LM, et al. Intussusception secondary to Meckel's diverticulum detection with Tc-99m monoclonal antibodies to granulocytes (Leukoscan®). Clin Nucl Med. 1996;21:834–837
  54. Tennant SL, Ganatra R. Meckel's diverticulum – an incidental finding on PET/CT. Clin Nucl Med. 2007;32:555–558
  55. Kumar R, Tripathi M, Chandrashekar N, et al. Diagnosis of ectopic gastric mucosa using 99Tcm-pertechnetate: spectrum of clinical findings. Br J Radiol. 2005;78:714–720
  56. Omar AM, Al-Saee'd TA, Elgazzar A. Scintigraphic pattern of intestinal duplication on a Meckel's diverticulum scan. Clin Nucl Med. 1998;23:708–709
  57. McKevitt EC, Baerg JE, Nadel HR, et al. Laparoscopy as a cause of a false-positive Meckel's scan. Clin Nucl Med. 1999;24:102–104
  58. Hod N, Mindlin L, Horne T. “False-negative” Meckel's scan caused by a recent barium study. Clin Nucl Med. 2002;27:57–58
  59. Ariga M, Suga K, Matsunaga N, et al. Failure to detect a huge Meckel's diverticulum with abundant ectopic gastric mucosa on gastric mucosal scintingraphy with Tc-99m pertechnetate. Clin Nucl Med. 2001;26:470–471
  60. Pennazio M, Santucci R, Rondonotti E, et al. Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases. Gastroenterology. 2004;126:643–653
  61. Sandrasegaran K, Maglinte DDT, Jennings SG, et al. Capsule endoscopy and imaging tests in the elective investigation of small bowel disease. Clin Radiol. 2008;63:712–723
  62. Mylonaki M, Fritscher-Ravens A, Swain P. Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding. Gut. 2003;52:1122–1126
  63. Hara AK, Leighton JA, Sharma VK, et al. Imaging of small bowel disease: comparison of capsule endoscopy, standard endoscopy, barium examination and CT. RadioGraphics. 2005;25:697–718
  64. Levsky JM, Milikow DL, Rozenblit AM, et al. Small bowel obstruction due to an impacted endoscopy capsule. Abdom Imaging. 2008;33:579–581doi:10.1007/s00261-007-9350-x
  65. Lewis BS. Obscure GI bleeding in the world of capsule endoscopy, push, and double balloon enteroscopies. Gastrointest Endosc. 2007;66:S66–S68
  66. Lee B-I, Choi H, Choi K-Y, et al. Retrieval of a retained capsule endoscope by double balloon enteroscopy. Gastrointest Endosc. 2005;62:463–465
  67. Cheifetz AS, Kornbluth AA, Legnani P, et al. The risk of retention of the capsule endoscope in patients with known or suspected Crohn's disease. Am J Gastroenterol. 2006;101:2218–2222
  68. Tabbers MM, Bruin KF, Taminiau JA, et al. An unexpected finding in a child with rectal blood loss using video capsule endoscopy. Eur J Pediatr. 2006;165:270–272
  69. Moon JH, Park CH, Kim JH, et al. Meckel's diverticulum bleeding detected by capsule endoscopy. Gastrointest Endosc. 2006;63:702
  70. Mayo CW. Meckel's diverticulum. Proc Staff Meet Mayo Clin. 1933;8:230
  71. Stone P, Hofedlt MJ, Campbell JE, et al. Meckel diverticulum: ten year experience in adults. South Med J. 2004;97:1038–1041
  72. Menezes M, Tareen F, Saeed A, et al. Symptomatic Meckel's diverticulum in children: a 16 year review. Pediatr Surg Int. 2008;24:575–577

PII: S0009-9260(08)00332-2

doi: 10.1016/j.crad.2008.07.012

Clinical Radiology
Volume 64, Issue 2 , Pages 109-118 , February 2009