Meckel's Case 2

Details on the Request Card

31 year old with recurrent abdominal pain, faecal occult blood positive. Normal colonoscopy. ? Meckel's

Procedure

Anterior images from 0-45 minutes after injection

scan image

Questions

1) Is there any evidence of a Meckel's diverticulum?
2) What are the classic appearances of a Meckel's diverticulum on pertechnetate scintigraphy (true positive)?
3) What can cause similar appearances (i.e. false positive)?
4) Why can these scans be falsely negative?
5) Why is this patient unusual?

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The text is entirely the opinion of the author and does not necessarily reflect that of RUH NHS Trust or the Bristol Radiology Training Scheme. Website content devised by Paul McCoubrie.