EURORAD ESR

Case 14420

Is that... a Meckel's diverticulum?!

Author(s)
Ines Alves, Guida Castanha

Hospital Central do Funchal; Av. Luís de Camões 9004-514 Funchal, Portugal; Email:inesmpalves@gmail.com
 
Patient
male, 52 year(s)
 
 
  • Figure 1
    Plain abdominal radiography

    Unremarkable

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Diverticula;
     
     
  • Figure 2
    Ultrasound
     

    Linear highly hyperchogenic image within an apparent terminal ileum loop, in a fixed transverse position, compatible with a foreign body.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    Linear highly hyperchogenic image within an apparent terminal ileum loop, in a fixed transverse position, compatible with a foreign body.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Diverticula;
     
     
  • Figure 3
    CT
     

    Coronal (a) and axial (b) non-enhanced CT images showing linear hyperdense image measuring about 5cm, apparently located in the terminal ileum loop and perforating the wall. Focal inflammatory changes were also present.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;

    Coronal (a) and axial (b) non-enhanced CT images showing linear hyperdense image measuring about 5cm, apparently located in the terminal ileum loop and perforating the wall. Focal inflammatory changes were also present.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Diverticula;
     
     
  • Figure 4
    Intraoperative image

    Photography taken during surgery showing the Meckel’s diverticulum and the foreign body (fish bone). The diverticulum was resected.

     
    Area of Interest: Abdomen; Imaging Technique: Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Diverticula;
     
     
Unremarkable
 
Linear highly hyperchogenic image within an apparent terminal ileum loop, in a fixed transverse position, compatible with a foreign body.
 
Linear highly hyperchogenic image within an apparent terminal ileum loop, in a fixed transverse position, compatible with a foreign body.
 
Coronal (a) and axial (b) non-enhanced CT images showing linear hyperdense image measuring about 5cm, apparently located in the terminal ileum loop and perforating the wall. Focal inflammatory changes were also present.
 
Coronal (a) and axial (b) non-enhanced CT images showing linear hyperdense image measuring about 5cm, apparently located in the terminal ileum loop and perforating the wall. Focal inflammatory changes were also present.
 
Photography taken during surgery showing the Meckel’s diverticulum and the foreign body (fish bone). The diverticulum was resected.
 
 
 
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