Case Series

Revisiting the forgotten remnant: Imaging spectrum of Meckel’s diverticulum

Manish Kumar, Priya Singh, Priti Kumari, Rohit Kaushik
South African Journal of Radiology | Vol 26, No 1 | a2431 | DOI: https://doi.org/10.4102/sajr.v26i1.2431 | © 2022 Manish Kumar, Priya Singh, Priti Kumari, Rohit Kaushik | This work is licensed under CC Attribution 4.0
Submitted: 05 March 2022 | Published: 19 July 2022

About the author(s)

Manish Kumar, Department of Radiodiagnosis, Mayo Institute of Medical Science, Barabanki, India
Priya Singh, Department of Radiodiagnosis, Mayo Institute of Medical Science, Barabanki, India
Priti Kumari, Department of Radiodiagnosis, BPS Government Medical College for Women, Sonepat, India
Rohit Kaushik, Department of Radiodiagnosis, House of Diagnostics, New Delhi, India


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Abstract

Meckel’s diverticulum is a true diverticulum of the alimentary tract occurring resulting from the persistence of remnants of the vitello-intestinal duct. They are often asymptomatic and incidentally diagnosed during surgery. Complications such as intestinal obstruction, diverticulitis, intestinal haemorrhage and perforation may occur with Meckel’s diverticulum, which renders them symptomatic. The clinical and imaging diagnosis of Meckel’s diverticulum is very challenging. As a result of the rare occurrence of complicated Meckel’s diverticulum and the difficult preoperative diagnosis, knowledge of its imaging features is limited. The presented case series describes a spectrum of complications caused by Meckel’s diverticulum and its CT imaging features. It highlights the importance of a high clinical suspicion by carefully searching for a Meckel’s diverticulum on CT in its characteristic location to avoid missing it preoperatively.


Keywords

Meckel’s diverticulum; computed tomography; imaging; complications; Meckel’s acute abdomen

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