Hoelzel Christian, Gillitzer Claus, Kotzerke Joerg
Klinik und Poliklinik für Nuklearmedizin, Universitaetsklinikum Dresden, Germany.
Clin Nucl Med. 2007 Oct;32(10):810-1. doi: 10.1097/RLU.0b013e318148b613.
A 10-year-old girl was hospitalized because of abdominal pain and significant gastrointestinal bleeding for 3 days with hematocrit of 28% and hemoglobin of 6.1 mmol/L. Gastroscopy and abdominal ultrasound did not reveal any gastrointestinal abnormalities and parameters of coagulation were normal. Because a Meckel diverticulum is one of the most common causes of lower gastrointestinal bleeding in children, a Tc-99m pertechnetate scan (Meckel's scan) was performed to identify ectopic gastric mucosa. Normally, a Meckel diverticulum is found in the right lower quadrant.
一名10岁女孩因腹痛和严重胃肠道出血住院3天,血细胞比容为28%,血红蛋白为6.1 mmol/L。胃镜检查和腹部超声未发现任何胃肠道异常,凝血参数正常。由于梅克尔憩室是儿童下消化道出血最常见的原因之一,因此进行了锝-99m高锝酸盐扫描(梅克尔扫描)以识别异位胃黏膜。正常情况下,梅克尔憩室位于右下腹。