This case report describes a 26-month-old boy with recurrent rectal bleeding where multiple standard imaging tests, including a Meckel scan, were negative.
JPGN reports · 6 authors, 5 centres
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This case report describes a 26-month-old boy with recurrent rectal bleeding where multiple standard imaging tests, including a Meckel scan, were negative.
Superior mesenteric angiography was then performed, revealing an area of abnormal, corkscrew-like vasculature in the terminal ileum. This finding led to an exploratory laparotomy, which identified and allowed for the surgical resection of a Meckel's diverticulum. The case illustrates that while a Meckel's scan is the standard diagnostic tool, it can yield false negatives, and angiography serves as a valuable alternative for detecting the diverticulum via its associated vitelline artery, even in the absence of acute bleeding.