Tubiana J M, Dana A, Régent D, Son D T, Chermet J
J Radiol Electrol Med Nucl. 1978 Dec;59(12):689-96.
The authors underline the value of selective superior mesenteric arteriography in the diagnosis of Meckel's diverticulum. In the ten cases reported, seven were found to have a Meckel's diverticulum on operation, while it was absent in the other three. Arteriography was able to diagnose its presence correctly in sex patients, gave a false positive diagnosis in three cases, and was considered to be normal in the last case in which a Meckel's diverticulum was present. Valid radiological signs are extravasation of the contrast medium into the lumen of the digestive tract and the presence of a vitellin artery dividing into a vascular network. The single fact of a hypervascularized zone at the end of the superior mesenteric artery dividing into a vascular network. The single fact of a hypervascularized zone at the end of the superior mesenteric artery without definite artery formation is not as valid and its interpretation is difficult.
作者强调选择性肠系膜上动脉造影在梅克尔憩室诊断中的价值。在所报道的10例病例中,7例在手术中发现有梅克尔憩室,另外3例未发现。动脉造影能够正确诊断6例患者憩室的存在,3例出现假阳性诊断,在最后1例存在梅克尔憩室的病例中动脉造影被认为正常。有效的放射学征象是造影剂外渗至消化道腔内以及存在一条卵黄动脉分支形成血管网。仅肠系膜上动脉末端有一个血管增生区但无明确动脉形成这一情况并不那么可靠,且难以解释。