115 Perforated Meckel Diverticulum

CASE 115


Clinical Presentation


A 30-year-old man presents with a 1-day history of emesis and diarrhea.




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Fig. 115.1 (A–C) Axial, (D,E) coronal, and (F,G) sagittal images of the abdomen and pelvis show a tubular structure arising from the distal small bowel (arrows) filled with gas and particulate material. There is accompanying soft tissue stranding seen surrounding this structure.


Radiologic Findings


Axial, coronal, and sagittal images of the abdomen and pelvis show a tubular structure arising from the distal small bowel filled with gas and particulate material. There is accompanying soft tissue stranding seen surrounding this structure (Fig. 115.1).


Diagnosis


Perforated Meckel diverticulum


Differential Diagnosis



  • Acute appendicitis
  • Crohn disease
  • Ileal diverticulitis
  • Foreign body perforation
  • Perforated neoplasm

Discussion


Background

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Dec 26, 2015 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on 115 Perforated Meckel Diverticulum

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