Open AccessTubular intestinal duplication harboring gastric ectopia accurately diagnosed by Tc-99m pertechnetate single-photon emission computed tomography/computed tomography meckel's scan
Author(s) -
Ioannis Spyridakis,
Domenica Lo-Presti,
Stamata Georga,
Chrysostomos Kepertis,
Ioannis Efstratiou,
Georgios Arsos
Publication year - 2017
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/ijnm.ijnm_25_17
Subject(s) - medicine , melena , hematochezia , abdomen , computed tomography , radiology , lumen (anatomy) , tomography , nuclear medicine , pertechnetate , meckel's diverticulum , single photon emission computed tomography , colonoscopy , technetium , diverticulum (mollusc) , anatomy , cancer , colorectal cancer
A 7-year-old girl with an episode of hematochezia and melena, suspicious for bleeding Meckel's diverticulum, was referred for a Tc-99m pertechnetate Meckel's scan. On dynamic planar scan, apart from prompt gastric visualization an oval-shaped, area of inhomogeneous tracer uptake was observed in the left lower quadrant of the abdomen. Subsequent single-photon emission computed tomography/computed tomography localized this to intestinal lumen, thus establishing the diagnosis of intestinal duplication (ID) with functional gastric mucosa. Surgical exploration confirmed the presence of a tubular ID in a distance of 1.5 m from the ileocecal valve and pathologic examination showed gastric mucosa lining the lumen of the duplication.