IAGNOSIS OF AN ILEAL DUPLICATION BY TECHNETIUM-99M PERTECHNETATE ABDOMINAL SCINTIGRAPHY: A CASE REPORT

Authors

  • Molrudee EKMAHACHATI Department of Radiology
  • Nuthapong UKARAPOL Department of Pediatrics
  • Jesda SINGHAVEJSAKUL Department of Surgery, Faculty of Medicine, Chiang Mai University
  • Sombut BOONYAPRAPA Department of Radiology

Abstract

An 8-month-old boy presenting with massive rectal bleeding was referred for Technetium-99m pertechnetate abdominal scintigraphy (Meckel’s scan), due to highly suspected of a bleeding Meckel’s diverticulum. The most common cause of lower gastrointestinal bleeding in infancy is peptic ulceration associated with ectopic gastric mucosa in Meckel’s diverticulum. However, other congenital anomalies containing ectopic gastric mucosa such as enteric duplication, should always be included in the differential diagnosis. Meckel’s scan is well accepted as the only specific diagnostic method to demonstrate the presence of ectopic gastric mucosa. The Meckel’s scan revealed a large curve area of radiopertechnetate uptake in the right lower abdomen, which gradually increased in intensity with time in parallel with the gastric activity. The scintigraphic findings were typical for the presence of ectopic gastric mucosa, most likely within an ileal duplication. Surgical and histopathological findings confirmed the final diagnosis of a tubular ileal duplication containing ectopic gastric mucosa.

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Published

2023-04-09

How to Cite

1.
EKMAHACHATI M, UKARAPOL N, SINGHAVEJSAKUL J, BOONYAPRAPA S. IAGNOSIS OF AN ILEAL DUPLICATION BY TECHNETIUM-99M PERTECHNETATE ABDOMINAL SCINTIGRAPHY: A CASE REPORT. ASEAN J Radiol [Internet]. 2023 Apr. 9 [cited 2025 Jan. 30];5(1):71-6. Available from: https://asean-journal-radiology.org/index.php/ajr/article/view/468

Issue

Vol. 5 No. 1 (1999): January-April

Section

Original Article

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