EURORAD ESR

Case 8964

An unusual case of lower GI bleeding due to Meckel's diverticulum (ESGAR 2010 Case of the day)

Author(s)
Kraniotis P, Petsas T, Karatzas A, Kalogeropoulou C.
Univerity Hospital of Patras, Department of Radiology, Patras, Greece.
 
Patient
male, 15 year(s)
 
 
  • Figure 1
    Axial PV-phase CT images
     

    Axial post-contrast CT, portal-venous phase. Contiguous images of 1.25 mm from above to below. There is intense nodular-wavy intramural enhancement around the abnormal loop (red circle).

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT;

    Axial post-contrast CT, portal-venous phase. Contiguous images of 1.25 mm from above to below. There is intense nodular-wavy intramural enhancement around the abnormal loop (red circle).

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT;

    Axial post-contrast CT, portal-venous phase. Contiguous images of 1.25 mm from above to below. There is intense nodular-wavy intramural enhancement around the abnormal loop (red circle).

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT;

    Axial post-contrast CT, portal-venous phase. Contiguous images of 1.25 mm from above to below. There is intense nodular-wavy intramural enhancement around the abnormal loop (red circle).

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT;
     
     
  • Figure 2
    Delayed phase CT image

    Post-contrast CT of the abdomen, delayed phase (note ureteral contrast excretion-yellow arrows). Image is at the same level with figure 1a. There is no presence of contrast extravasation (red circle).

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT;
     
     
  • Figure 3
    Nuclear scan images
     

    Anterior view: There is a hot spot in the right upper quadrant of the abdomen (red arrow).

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: Nuclear medicine conventional;

    Right lateral view: The hot spot is noted again; marked with a red arrow.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: Nuclear medicine conventional;
     
     
  • Figure 4
    CT MIP reformations
     

    Coronal MIP reformation of the abdomen: The abnormal bowel loop is encircled in red. Compare with figure 3a. There is a good correlation with the nuclear scan.

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT;

    Sagittal MIP reformation of the abdomen: The abnormal bowel loop is marked again with a red circle. The image is also very well correlated with the lateral view of the nuclear scan (figure 3b)

     
    Area of Interest: Gastrointestinal tract; Imaging Technique: CT;
     
     
Axial post-contrast CT, portal-venous phase. Contiguous images of 1.25 mm from above to below. There is intense nodular-wavy intramural enhancement around the abnormal loop (red circle).
 
Axial post-contrast CT, portal-venous phase. Contiguous images of 1.25 mm from above to below. There is intense nodular-wavy intramural enhancement around the abnormal loop (red circle).
 
Axial post-contrast CT, portal-venous phase. Contiguous images of 1.25 mm from above to below. There is intense nodular-wavy intramural enhancement around the abnormal loop (red circle).
 
Axial post-contrast CT, portal-venous phase. Contiguous images of 1.25 mm from above to below. There is intense nodular-wavy intramural enhancement around the abnormal loop (red circle).
 
Post-contrast CT of the abdomen, delayed phase (note ureteral contrast excretion-yellow arrows). Image is at the same level with figure 1a. There is no presence of contrast extravasation (red circle).
 
Anterior view: There is a hot spot in the right upper quadrant of the abdomen (red arrow).
 
Right lateral view: The hot spot is noted again; marked with a red arrow.
 
Coronal MIP reformation of the abdomen: The abnormal bowel loop is encircled in red. Compare with figure 3a. There is a good correlation with the nuclear scan.
 
Sagittal MIP reformation of the abdomen: The abnormal bowel loop is marked again with a red circle. The image is also very well correlated with the lateral view of the nuclear scan (figure 3b)
 
 
 
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