Why Wasn't Radionuclide Diagnosis of Bleeding Meckel's Diverticulum Mentioned?

PEDIATRICS ◽  
1977 ◽  
Vol 60 (6) ◽  
pp. 940-940
Author(s):  
Arnold Schussheim ◽  
Gerard Moskowitz ◽  
Lester Levy
Keyword(s):  
Nuclear Medicine ◽  
Preoperative Diagnosis ◽  
Pediatric Patients ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
American Academy Of Pediatrics ◽  
Radionuclide Diagnosis ◽  
Pediatric Nuclear Medicine ◽  
Standard Techniques ◽  
The Ideal

The article on pediatric nuclear medicine by the Committee on Radiology of the American Academy of Pediatrics (Pediatrics 58:459, September 1976) had as its intention to update "the expanding role that radionuclide techniques have in the management of pediatric patients." It also noted the ideal properties of technetium 99m for imaging. It did not, however, include any mention of its use in the preoperative diagnosis of bleeding Meckel's diverticulum in children. Rectal bleeding in children due to Meckel's diverticulum is not uncommon, it is often massive, and the failure of standard techniques to make this diagnosis is well known.

scholarly journals Unusual Presentation of Meckel’s Diverticulum: Gangrene due to Axial Torsion

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmet Rencuzogullari ◽  
Kubilay Dalci ◽  
Orcun Yalav
Keyword(s):  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Preoperative Diagnosis ◽  
Iliac Fossa ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Life Threatening ◽  
Operative Findings ◽  
The Right

Meckel’s diverticulum is the most common congenital anomaly of the small bowel. The majority of cases are asymptomatic; however, life-threatening complications can also take place. We present a case of a 37-year-old male who was admitted with symptoms of acute, severe abdominal pain in the right iliac fossa. The patient was operated on with the preoperative diagnosis of acute appendicitis but the operative findings were consistent with torted Meckel’s diverticulum due to presence of mesodiverticular band and he was treated successfully with surgical resection.

scholarly journals Meckel’s Diverticulum: Factors Associated with Clinical Manifestations

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Jeng-Jung Chen ◽  
Hung-Chang Lee ◽  
Chun-Yan Yeung ◽  
Wai-Tao Chan ◽  
Chuen-Bin Jiang ◽  
...  
Keyword(s):  
Clinical Features ◽  
Pediatric Patients ◽  
Meckel’S Diverticulum ◽  
Age Groups ◽  
Clinical Manifestations ◽  
Meckel's Diverticulum ◽  
Adult Patients ◽  
Ectopic Gastric Mucosa ◽  
Intestinal Hemorrhage ◽  
Clinical Presentations

Objectives. The purpose of this study was to investigate the clinical features of Meckel’s diverticula at different ages, genders, and pathology in order to serve as a reminder to clinicians when evaluating potential cases and to help obtain an early diagnosis. Methods. We collected information of patients with Meckel’s diverticulum diagnosed at Mackay Memorial Hospital in Taiwan from 1984 to 2009. After performing a thorough review of their charts, the clinical features of the Meckel’s diverticula were analyzed according to age groups, gender, and pathology. Result. A total of 126 patients, with 90 males and 36 females, were enrolled in this study. Seventy-five patients were symptomatic and 51 Meckel’s diverticula were found incidentally during surgery for other diseases. Among symptomatic patients, 39% of pediatric patients and 5% of adult patients had intestinal hemorrhage. Twenty-eight percent of pediatric patients and 67% of adult patients had inflammation of Meckel’s diverticulum. Forty-six percent of males and 16% of females had inflammation. Conversely, 27% of males and 58% percent of females had intestinal obstruction. When Meckel’s diverticulum had ectopic gastric mucosa, it tended to cause intestinal hemorrhage when the patient is young. Conclusions. Age, gender, and pathology affect the clinical presentations of Meckel’s diverticula.

scholarly journals Nuclear Medicine Imaging in the Pediatric Patient

2006 ◽  
Vol 11 (4) ◽  
pp. 200-211
Author(s):  
Vivian Loveless
Keyword(s):  
Nuclear Medicine ◽  
Pediatric Patients ◽  
Radiation Safety ◽  
Endocrine System ◽  
Nuclear Medicine Imaging ◽  
Safety Issues ◽  
Disease States ◽  
Pulmonary System ◽  
Pediatric Nuclear Medicine ◽  
The Central Nervous System

Pediatric nuclear medicine provides a wealth of information on a variety of disease states; however, precautions on dosing have to be taken into consideration. Also, expertise in conducting procedures and interpreting the results in pediatric patients is necessary. Emphasis is placed on diagnostic studies involving the central nervous system, musculoskeletal system, genitourinary system, gastrointestinal system, endocrine system, pulmonary system, and cardiovascular system along with a brief explanation of the mechanism of localization of the radiopharmaceuticals involved. Radiation safety issues are addressed when the expectant mother or nursing mother is administered radiopharmaceuticals.

Drs. Conway and Grossman Reply

PEDIATRICS ◽  
1977 ◽  
Vol 60 (6) ◽  
pp. 940-940
Author(s):  
James Conway ◽  
Herman Grossman
Keyword(s):  
Nuclear Medicine ◽  
Annual Meeting ◽  
World Literature ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Comprehensive Review ◽  
The World ◽  
23Rd Annual Meeting

I have performed a comprehensive review of the use of radionucides for Meckel's diverticulum detection and this was reported to the Society of Nuclear Medicine at their 23rd annual meeting in June 1976. An abstract of that presentation has been published in the Journal of Nuclear Medicine. Currently, there are approximately 35 articles in the world literature which generally attest to the efficacy of this procedure, particularly when compared to roentgenographic techniques. In our report, which was collated from those surgically proven cases reported in the literature and approximately ten pediatric institutions, there was an accuracy of 78%.

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