Sonographic Findings of Meckel's Diverticulitis in Children
Matteo Baldisserotto1,
Deise Regina Maffazzoni2 and
Marcelo Dourado Dora3
1 Departmento de Radiologia, Hospital da Criança
Conceição—Ministério da Saúde, Rua Francisco
Trein 596, Porto Alegre, RS, Brazil 91350-200.
2 Department of Patologia Hospital da Criança
Conceição—Ministério da Saúde, Porto Alegre,
RS, Brazil 91350-200.
3 Departamento de Pediatria, Hospital da Criança
Conceição—Ministério da Saúde, Porto Alegre,
RS Brazil 91350-200.
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Fig. 1A. —11-year-old boy who presented with 1-day history of diarrhea
and periumbilical pain with guarding. Gray-scale sonogram shows hypoechoic
tubular cul-de-sac in longitudinal plane corresponding to Meckel's
diverticulum (arrows) surrounded by hyperechoic mass
(arrowheads). B = urinary bladder.
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Fig. 1B. —11-year-old boy who presented with 1-day history of diarrhea
and periumbilical pain with guarding. Gray-scale sonogram shows rounded
hypoechoic structure (arrows) in transverse plane corresponding to
Meckel's diverticulum surrounded by free peritoneal fluid
(arrowheads).
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Fig. 2. —10-year-old girl who had been experiencing hypogastric pain
with guarding, vomiting, and diarrhea for 2 days. Gray-scale sonogram shows
hypoechoic dead-ended tubular structure corresponding to Meckel's diverticulum
(large arrows), with gas (small arrow) and fecalith in lumen
(arrowhead).
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Fig. 3A. —1-year-old boy who had experienced intense enterorrhagia for
24 hr before presentation; scintigraphic findings were negative. Gray-scale
sonogram shows cystlike structure (arrows) with gut signature
(arrowheads) in right iliac fossa; structure corresponds to Meckel's
diverticulum and measures 2.0 x 1.4 cm.
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Fig. 3B. —1-year-old boy who had experienced intense enterorrhagia for
24 hr before presentation; scintigraphic findings were negative. Gray-scale
sonogram obtained 10 min after A shows echogenic material filling lumen
of Meckel's diverticulum (arrows). Hyperechoic fixed air collection
(arrowhead) associated with ulceration is visible on anterior
wall.
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Fig. 3C. —1-year-old boy who had experienced intense enterorrhagia for
24 hr before presentation; scintigraphic findings were negative. Color Doppler
sonogram shows hypervascularized Meckel's diverticulum (large arrows)
with anomalous artery (small arrow) in longitudinal plane.
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Fig. 3D. —1-year-old boy who had experienced intense enterorrhagia for
24 hr before presentation; scintigraphic findings were negative. Color Doppler
sonogram shows hypervascularized Meckel's diverticulum (arrows) in
transverse plane.
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Fig. 3E. —1-year-old boy who had experienced intense enterorrhagia for
24 hr before presentation; scintigraphic findings were negative. Photograph of
gross pathologic specimen shows ulceration (arrow) in Meckel's
diverticulum.
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Fig. 4A. —8-year-old boy who had experienced hypogastric pain without
guarding for 24 hr before presenting. Color Doppler sonogram shows cystlike
structure (arrows) with gut signature (arrowheads) in right
iliac fossa (longitudinal view), measuring 2.0 x 1.4 cm and
corresponding to Meckel's diverticulum with hypervascularization caused by
inflammation.
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Fig. 4B. —8-year-old boy who had experienced hypogastric pain without
guarding for 24 hr before presenting. Color Doppler sonogram reveals
inflammation in Meckel's diverticulum (arrows) with gut signature
(arrowheads) in transverse plane.
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Copyright © 2003 by the American Roentgen Ray Society.
