| INTERESTING IMAGES |
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| Year : 2017 | Volume
: 32
| Issue : 4 | Page : 361-362 |
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Tubular intestinal duplication harboring gastric ectopia accurately diagnosed by Tc-99m pertechnetate single-photon emission computed tomography/computed tomography meckel's scan
Ioannis Spyridakis1, Domenica Lopresti2, Stamata Georga2, Chrysostomos Kepertis1, Ioannis Efstratiou3, Georgios Arsos2
1 Department of Pediatric Surgery, School of Medicine, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece
2 Department of Nuclear Medicine, School of Medicine, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece
3 Department of Pathology, Papageorgiou General Hospital, Thessaloniki, Greece
Correspondence Address:
Ioannis Spyridakis
Department of Pediatric Surgery, School of Medicine, Aristotle University, Papageorgiou General Hospital, Ring Road, Nea Efkarpia, 56403 Thessaloniki
Greece
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijnm.IJNM_25_17
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A 7-year-old girl with an episode of hematochezia and melena, suspicious for bleeding Meckel's diverticulum, was referred for a Tc-99m pertechnetate Meckel's scan. On dynamic planar scan, apart from prompt gastric visualization an oval-shaped, area of inhomogeneous tracer uptake was observed in the left lower quadrant of the abdomen. Subsequent single-photon emission computed tomography/computed tomography localized this to intestinal lumen, thus establishing the diagnosis of intestinal duplication (ID) with functional gastric mucosa. Surgical exploration confirmed the presence of a tubular ID in a distance of 1.5 m from the ileocecal valve and pathologic examination showed gastric mucosa lining the lumen of the duplication.
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