DIVERTICOLO DI MECKEL PDF
Adenocarcinoma del diverticolo di Meckel, rara complicanza del residuo onfalo- mesenterico: presentazione di un caso e revisione della letteratura. Catalano, O., Lapiccirella, G., & Catalano, O. (). Reperti ecografici e con tomografia computerizzata in un caso di enterolita in diverticolo di Meckel. Intussusception due to Inverted Meckel Diverticulum TC nelle complicanze del diverticolo di Meckel ; La Radiologia Medica – Radiol Med ,
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You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Meckel s diverticulum is the most common congenital abnormality of the small bowel.
Doppler may reveal anomalous vessels and signs of inflammation along the diverticulum. It is named after Johann Friedrich Meckelwho described its anatomy and embryology in diverticlo. Most patients with a complication are thought to present in the first two years of life About Blog Go ad-free.
Preoperative radiological diagnosis can be suspected in the presence of suggestive signs, more often depicted by CT. Edit article Share article View revision history. Meckel diverticulitis Case 2: Support Radiopaedia and see fewer ads. Log in Sign up.
Meckel diverticulitis is the inflammation of Meckel diverticulumwhich is the most common congenital structural abnormality of the gastrointestinal tract 3. Pertechnetate is taken up by mucin-secreting cells of the gastric mucosa and ectopic gastric tissue. Log in Sign up. Clinical symptoms included acute abdomen 4 ptsintestinal occlusion 3 ptsabdominal pain 4 ptsfever 5 pts. Related Radiopaedia articles Anatomy: Radiologic diagnosis is often difficult because abdominal plain radiography and ultrasound mefkel not sufficiently specific; CT is most accurate in differential diagnosis.
Crit Rev Diagn Imaging. They can be used to diagnose morphological Meckel diverticulum, however, sensitivity depends on contrast opacification, and has no role in cases of suspected acute diverticulitis.
Our series confirms the difficulty of diagnosing Meckel s diverticulum in an acute setting. Support Radiopaedia and see fewer ads.
SONOWORLD : Meckel diverticulum intussusception
CT was not diagnostic in 3 pts; in 2 pts it showed an abscessual fluid collection in the pelvis, adherent to intestinal loops, with flogosis of the perivisceral fat; in 1 pt it revealed perforation; in 4 cases it was specific showing inversion of the diverticulum in an intestinal loop 2 pts or a tubular fluid-filled structure, with thickened walls and contrast enhancement, which was interpreted as a inflammatory diverticulum 2 pts.
Articles Cases Courses Quiz. Duverticolo article focuses on Meckel diverticulitis. Meckel’s diverticulitis Inflamed meckel’s diverticulum.
However, midline and right iliac fossa location are the commonest. Synonyms or Alternate Spellings: Mefkel traditionally described to have increased male ri, it may occur with equal frequency in both sexes although symptoms from complications are more common in male patients 2, Ultrasound revealed abscessual collections in the pelvis, fluid distention of the diverticulum, segmental thickening of the intestinal walls and invagination.
Painless rectal bleeding is also frequent. In particular, evidence of an intraluminal prolonged mass with central area of fat density and peripherral collar was considered suggestive of intraluminal invagination of Meckel s diverticulum.
[US and CT findings in complicated Meckel diverticulum].
It is considered a remnant of the omphalomesenteric-vitelline duct, which connects the yolk sac to the midgut through the umbilical cord. About Blog Go ad-free. Patients usually present with acute pain in the right lower quadrant.
Mural wall thickening and enhancement are seen with surrounding inflammatory changes in the adjacent fat as well as small reactive mesenteric lymph nodes. CT is of limited value in uncomplicated cases, as the diverticulum may resemble a normal bowel loop. It is possible for the diverticulum to invert and appear as an intraluminal polypoid lesion Meckel s diverticulum is a not uncommon condition that in some cases is complicated, resulting in acute abdomen.
As is the case with appendicitisit is said that contrast opacification of diverticula is suggestive of inflammation. In 2 cases CT showed an abscessual collection with gas-fluid level complication of perforation confirming the need for surgery. It is considered the most common structural congenital anomaly of the gastrointestinal tract. Abdominal plain radiography only allowed to diagnose intestinal occlusion or perforation.
Occasionally it may also be seen as a cyst, raising a different differential diagnosis of intestinal duplication which however is said to have regular margins 2. CT may show a fluid- or air-filled blind-ending pouch that arises from the antimesenteric side of the distal ileum.