Technique of scanning for Meckel's diverticulum

Academic Article

Abstract

  • (99m)Tc-pertechnetate scanning is now recognized as a useful means of detecting Meckel's diverticula. When these contain gastric mucosa and present with ulceration and bleeding, the ectopic gastric mucosa can be identified by its secretion of (99m)Tc-pertechnetate. However, the secretions of normal gastric and salivary glands can pool in the gut and simulate a Meckel's diverticulum. We believe the diagnostic procedure of choice to include both continuous nasogastric suction and continuous sequential gamma camera images. To support this view, we present cases illustrating 1) that (99m)Tc-pertechnetate can appear in the bowel within the first few minutes of administering (99m)Tc-pertechnetate, even in the absence of a Meckel's diverticulum; 2) that rapid sequential camera views are helpful but not definitive in distinguishing such bowel activity from a Meckel's diverticulum: and 3) that continuous nasogastric suction most successfully eliminates this interference.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Singh PR; Russell CD; Dubovsky EV; Bridger WM
  • Start Page

  • 188
  • End Page

  • 192
  • Volume

  • 3
  • Issue

  • 5