Abstract
Meckel’s diverticulum is a congenital true diverticulum of the distal ileum, occurring in 2–3 % of the population. It is a vestigial remnant of the omphalomesenteric duct, which normally becomes obliterated between the fifth and the seventh week of gestation. The diverticulum is usually localized within 100 cm of the ileocecal valve and may contain heterotopic gastric mucosa. Symptoms are uncommon, and most Meckel’s diverticula are incidentally found during autopsy, surgery, or barium studies. Symptoms are typically related to the onset of complications (4–40 % of patients), which may manifest as acute abdomen. Complications may occur at all ages, but they are more common in children than adults. In the pediatric population, hemorrhage is the most frequent complication, followed by bowel obstruction and inflammation. Diagnosis is difficult, but ultrasonography represents the first-level diagnostic method in emergency.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Baldisserotto M (2004) Color doppler sonographic findings of inflamed and perforated Meckel diverticulum. J Ultrasound Med 23:843–848
Chohan TA, Tabook SA, Elmukashfi E, Skroon SM (2010) Acute appendicitis or… is it Meckel’s diverticulitis? Oman Med J 25:2010
Di Giacomo V, Trinci M, Van der Byl G, Catania VD, Calisti A, Miele V (2015) Ultrasound in newborns and children suffering from nontraumatic acute abdominal pain: imaging with clinical and surgical correlation. J Ultrasound 18:385–393. doi:10.1007/s40477-014-0087-4, Epub 2014 Apr 9
Dujardin M, De Beeck BO, Osteaux M (2002) Inverted Meckel’s diverticulum as a leading point for ileoileal intussusception in an adult: case report. Abdom Imaging 27:563–565
Elsayes K, Menias CO, Harvin HJ, Francis IR (2007) Imaging manifestations of Meckel’s diverticulum». AJR Am J Roentgenol 189:81–88
Epifanio M, Terrazas E, Spolidoro J, Bastos JC, Mattiello R, Baldisserotto M (2015) Magnetic resonance findings of a Meckel’s diverticulum at 3 Tesla. J Pediatr Gastroenterol Nutr. [Epub ahead of print]. PMID: 25643017. doi:10.1097/MPG.0000000000000746
Levy AD, Hobbs MC (2004) From the archives of the AFIP – Meckel diverticulum: radiologic features with pathologic correlation. RadioGraphics 24:565–587
Parigi GB (2005) Chirurgia pediatrica. Masson Editore, Milano, pp 327–329
Rossi P, Gourtsoyiannis N, Bezzi M, Raptopoulos V, Massa R, Capanna G, Pedicini V, Coe M (1996) Meckel’s diverticulum: imaging diagnosis. AJR Am J Roentgenol 166:567–573
Zhou FR, Huang LY, Xie HZ (2013) Meckel’s diverticulum bleeding diagnosed with magnetic resonance enterography: a case report. World J Gastroenterol 19:2727–2730
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Latini, M.E., Riccioni, S., Napoletano, M., Recchia, N., Scialpi, M. (2016). Meckel’s Diverticulum. In: Miele, V., Trinci, M. (eds) Imaging Non-traumatic Abdominal Emergencies in Pediatric Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-41866-7_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-41866-7_11
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-41865-0
Online ISBN: 978-3-319-41866-7
eBook Packages: MedicineMedicine (R0)