Meckel’s diverticulum-induced ileocolonic intussusception
© Springer-Verlag London Ltd 2010
Received: 27 December 2009
Accepted: 21 March 2010
Published: 14 May 2010
A previously healthy 8-year-old male complained of severe, intermittent and stabbing abdominal pain that had waxed and waned over the past 3 days. At the time of presentation, the pain was right-sided, peri-umbilical and non-radiating. He denied nausea, vomiting, hematochezia, melena or urinary tract symptoms; he had however experienced several recent episodes of brown diarrhea.
The target sign is classic for intussusception on both CT and ultrasound. Its appearance is attributed to the different densities of tissue layers that are apposed to each other by the telescoping bowel, and when the luminal diameter is increased, intussusception must be considered in the differential diagnosis . Although most cases of intussusception are idiopathic, there have been several case reports of Meckel’s diverticulum serving as a lead point [2–4].
- Cox TD, Winters WD, Weinberger E (1996) CT of Intussusception in the pediatric patient: diagnosis and pitfalls. Pediatr Radiol 26:26–32PubMedView ArticleGoogle Scholar
- Barron BJ, Robins DB, Lamki LM, Daniels W, Chopra L, Black CT (1996) Intussusception secondary to Meckel’s diverticulum detection with Tc-99m monoclonal antibodies to granulocytes (Leukoscan). Clin Nucl Med 21(11):834–837PubMedView ArticleGoogle Scholar
- Steinwald PM, Trachiotis GD, Tannebaum IR (1996) Intussusception in an adult secondary to an inverted Meckel’s diverticulum. Am Surg 62(11):889–894, ReviewPubMedGoogle Scholar
- Hurley LJ, Whalen TV, Glen L (1989) Intussusception secondary to Meckel's diverticulum: A challenging diagnosis in adolescence. Journal of Adolescent Health Care 10(1):51–53PubMedView ArticleGoogle Scholar