Invagination of Meckel’s Diverticulum: A Rare Cause of Recurrent Abdominal Pain in a Young Girl

Year 2015, Volume: 22 Issue: 2, 117 - 119, 11.12.2015

İbrahim İlker Öz , İsmail Şerifoğlu Bilal Toka Öge Taşçılar Yücel Üstündağ

Abstract

The invagination of Meckel's diverticulum is a very rare cause of abdominal pain in adolescents and adults. The classic clinical triad of the intussusception consisting abdominal pain, a palpable sausage-shaped mass, and bloody stools is seen infrequently. At the diagnosis, ultrasonography and computed tomography has a significant role with characteristic findings that include the “target” sign and sausage-shaped appearance. In this paper, we report a case of invagination of Meckel’s diverticulum which causes recurrent abdominal pain in a young adolescent.

Key Words: Meckel’s Diverticulum; Intussusception; Ultrasonography; Computed Tomography.

 

Keywords

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Journal of Turgut Ozal Medical Center

Abstract

Meckel divertikülünün invajnasyonu, ergen ve erişkinlerde karın ağrısının çok nadir bir nedenidir. İntussepsiyonun klasik klinik bulguları olan karın ağrısı, ele gelen bir sosis şeklinde kitle ve kanlı dışkı seyrek görülür. Tanıda, ultrasonografi ve bilgisayarlı tomografini önemli bir yere sahiptir ve hedef işareti ya da sosis görünümü ile karakteristik bulgular görülür. Bu yazıda, tekrarlayan karın ağrısına neden invajine Meckel divertikülü olgusu sunulmaktadır

Keywords

Meckel Divertikülü, İntussepsiyon, Ultrasonografi, Bilgisayarlı Tomografi

References

• Rossi P, Gourtsoyiannis N, Bezzi M, Raptopoulos V, Massa R, Capanna G et al. Meckel’s diverticulum: Imaging diagnosis. Am J Roentgenol 1996;166:567–73.
• Elsayes KM, Menias CO, Harvin HJ, Francis IR. Imaging manifestations of Meckel’s diverticulum. Am J Roentgenol 2007;189:81–88.
• Turkington JR, Devlin PB, Dace S, Madden M. An unusual cause of intermittent abdominal pain (2006: 5b). Inverted Meckel’s diverticulum. Eur Radiol 2006;16:1862-64.
• Yahchouchy EK, Marano AF, Etienne JC, Fingerhut AL. Meckel’s diverticulum. J Am Coll Surg 2001;192:658-62.
• Azar T, Berger DL. Adult intussusception. Ann Surg 1997;226:134-8.
• Kim YH, Blake MA, Harisinghani MG, Archer-Arroyo K, Hahn PF, Pitman MB et al. Adult intestinal intussusception: CT appearances and identification of a causative lead point. RadioGraphics 2006;26:733–44.
• Stewardson RH, Bombeck CT, Nyhus LM. Critical operative management of small bowel obstruction. Ann Surg 1978;187:189–93.
• Swischuk LE, Hayden CK, Boulden T. Intussusception: indications for ultrasonography and an explanation of the doughnut and pseudo kidney signs. Pediatr Radiol 1985;15:388–91.
• Takeuchi K, Tsuzuki Y, Ando T, Sekihara M, Hara T, Kori T et al. The diagnosis and treatment of adult intussusception. Journal of Clinical Gastroenterology 2003;36(1):18-21.
• Pantongrag-Brown L, Levine MS, Elsayed AM, Buetow PC, Agrons GA, Buck JL. Inverted Meckel diverticulum: clinical, radiologic, and pathologic findings. Radiology 1996;199:693–6.