Spontaneous perforation and intraabdominal abscess due to Meckel's diverticulum revealed on SPECT/CT with 99m-technetium pertechnetate
| Autor: | Jun Yang, Wan-Wen Weng, Yang-Jun Zhu, Meng-Jie Dong |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Abdominal pain medicine.medical_specialty Abdominal Abscess Single Photon Emission Computed Tomography Computed Tomography Adolescent Perforation (oil well) Spontaneous Perforation abscess 030218 nuclear medicine & medical imaging meckel diverticulum 03 medical and health sciences 0302 clinical medicine medicine perforation Humans Clinical Case Report Abscess Sodium Pertechnetate Tc 99m Meckel's diverticulum business.industry General Medicine single photon emission computed tomography/computed tomography medicine.disease Appendicitis Bowel obstruction medicine.anatomical_structure 030220 oncology & carcinogenesis Abdomen Radiology medicine.symptom Radiopharmaceuticals business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Rationale: Meckel's diverticulum (MD) is common congenital abnormality of gastrointestinal tract, only about 6.4% of patients become symptomatic. A smaller minority develop potential fatal complications such as hemorrhage, perforation, abscess, and bowel obstruction. Patient concerns: A 15-year-old boy with history of appendicitis was admitted due to worsening abdominal pain and nausea for 1 day. The physical examination showed the abdomen was soft, with the diffuse tenderness to palpation and voluntary guarding. Diagnosis: Abdominal computed tomography showed a probable MD in the distal ileum. Single photon emission computed tomography/computed tomography (SPECT/CT) fusion imaging revealed the focal concentration at the right lower quadrant of abdomen region. Intervention: After the initial management including antibiotic administration and intravenous fluid resuscitation, MD with perforation and localized suppurative peritonitis was confirmed in surgery. The patient underwent a diverticulectomy. Histological examination was confirmed as MD with focal heterotopic gastric tissue. Outcomes: After surgery, the patient had uneventful recovery during 3 months follow-up. Lessons: Spontaneous perforation and intraabdominal abscess due to MD is very rare. Accurate diagnosis of MD remains challenging as clinical symptoms from these complications occur nonspecifically. SPECT/CT fusion imaging is critical for prompt recognition and accurate diagnosis in the successful management of this rarely life-threating complication. |
| Databáze: | OpenAIRE |
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