Pitiakoudis Michael, Vaos George, Kirmanidis Michael, Gardikis Stefanos, Tsalkidou Evanthia, Simopoulos Constantinos
J Med Case Rep. 2009 Apr 29;3:6981. doi: 10.1186/1752-1947-3-6981.
Although Meckel's diverticulum is the most common congenital abnormality of the gastrointestinal tract and modern imaging techniques are available, its diagnosis remains problematic.
A technetium-99 scan was performed in an 18-year-old man with abdominal pain, vomiting and rectal bleeding to confirm the presence of a Meckel's diverticulum which was not diagnosed laparoscopically elsewhere. The technetium-99 scan was positive and a diagnostic laparoscopy was re-performed which revealed a Meckel's diverticulum that was subsequently resected.
We suggest that a technetium-99m scan should be performed before laparoscopy in children and adolescents with suspected Meckel's diverticulum. A positive technetium-99m scan may significantly contribute to the laparoscopic definitive diagnosis and treatment of a bleeding Meckel's diverticulum. However, diagnostic laparoscopy should only be performed by experienced surgeons.
尽管梅克尔憩室是胃肠道最常见的先天性异常，且有现代成像技术可用，但其诊断仍存在问题。
对一名18岁腹痛、呕吐和直肠出血的男性进行了锝-99扫描，以确认梅克尔憩室的存在，该憩室在其他地方未通过腹腔镜诊断出来。锝-99扫描呈阳性，随后再次进行诊断性腹腔镜检查，发现一个梅克尔憩室，随后将其切除。
我们建议，对于疑似梅克尔憩室的儿童和青少年，应在腹腔镜检查前进行锝-99m扫描。锝-99m扫描呈阳性可能对出血性梅克尔憩室的腹腔镜确诊和治疗有显著帮助。然而，诊断性腹腔镜检查应由经验丰富的外科医生进行。
