Zwas S T, Czerniak A, Wolfstein I
Clin Nucl Med. 1985 Apr;10(4):252-5. doi: 10.1097/00003072-198504000-00005.
A Tc-99m red blood cell (RBC) study in a child with acute gastrointestinal bleeding of unknown origin suggested Meckel's diverticulum because of free pertechnetate uptake in the ectopic gastric mucosa. This finding has not been reported in the literature. A scan with Tc-99m pertechnetate then demonstrated a focal area of uptake with an unusual pattern of abdominal shifting consistent with a Meckel's diverticulum. A large Meckel's diverticulum containing gastric mucosa was found at surgery. A shifting pattern of focal uptake on a meckelogram study should be included among the diagnostic criteria for Meckel's diverticulum.
对一名不明原因急性胃肠道出血的儿童进行的锝-99m红细胞(RBC)研究显示,由于异位胃黏膜摄取游离高锝酸盐,提示存在梅克尔憩室。这一发现尚未见文献报道。随后进行的锝-99m高锝酸盐扫描显示有一个摄取灶,其腹部移位模式异常,符合梅克尔憩室表现。手术中发现一个含有胃黏膜的大梅克尔憩室。梅克尔憩室造影研究中摄取灶的移位模式应纳入梅克尔憩室的诊断标准之中。