Indian Journal of Nuclear Medicine
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INTERESTING IMAGES
Year : 2017  |  Volume : 32  |  Issue : 4  |  Page : 361-362

Tubular intestinal duplication harboring gastric ectopia accurately diagnosed by Tc-99m pertechnetate single-photon emission computed tomography/computed tomography meckel's scan


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
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Source of Support: None, Conflict of Interest: None


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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