Bleeding Meckel Diverticulum: A Retrospective Analysis of Computed Tomography Enterography Findings

Objective The aim of this study was to evaluate the computed tomography enterography (CTE) characteristics of bleeding Meckel diverticulum. Methods The CTE images of 35 patients with Meckel diverticulum and gastrointestinal bleeding were retrospectively evaluated. Results Meckel diverticulum was visualized in 33 of 35 patients and located in the right lower abdomen (20/33), midline lower abdomen (8/33), left lower abdomen (3/33), or paramedially near the umbilicus (2/33). The Meckel diverticulum was visualized on the antimesenteric side of the ileum in 16 patients (48.5%) and pointed toward the umbilicus in 10 (30.3%). The diverticulum appeared as a blind-ended tubular (22/33 [66.7%]) or saccular (11/33 [33.3%]) bowel segment. Separated supplying vessel was identified in 15 patients (45.5%) and associated with diverticulum (P = 0.037). The ectopic tissue was pathologically confirmed in 11 (33.3%) of 33 patients and was associated with diverticular nodules (P = 0.002). Conclusions Awareness of CTE features could aid in the preoperative assessment of bleeding Meckel diverticulum. Received for publication August 3, 2018; accepted October 19, 2018. Correspondence to: Chunhong Hu, MD, Medical Imaging Center, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, Jiangsu 215006, China (e-mail: sdhuchunhong@sina.com). Y.C. and Y.T. contributed equally to this work. The authors declare no conflict of interest. Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcat.org). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

from A via a.sfakia on Inoreader https://ift.tt/2LcdzcN