Florio F, Stella P, Palladino M
Dipartimento di Diagnostica per Immagini, Casa Sollievo della Sofferenza, San Giovanni Rotondo, FG.
Radiol Med. 1988 May;75(5):497-500.
Seven patients with clinically suspected Meckel's diverticulum were examined. The symptoms of Meckel's diverticulum are variable, ranging from mild recurrent or severe acute gastrointestinal bleeding to intestinal obstruction and acute peritonitis. The authors evaluate the diagnostic results and suggest guidelines to choose the most appropriate radiological procedures, according to the clinical pattern: barium meal, enteroclysis and scintigraphy (99mTc) in patients with mild bleeding; mesenteric angiography in case of severe bleeding. The possibility of false negatives and positives is then discussed.
对7例临床疑似梅克尔憩室的患者进行了检查。梅克尔憩室的症状多样，从轻度复发性或严重急性胃肠道出血到肠梗阻和急性腹膜炎不等。作者评估了诊断结果，并根据临床模式提出了选择最合适放射学检查方法的指南：轻度出血患者采用钡餐、小肠灌肠造影和闪烁扫描（99mTc）；严重出血时采用肠系膜血管造影。随后讨论了假阴性和假阳性的可能性。
