Bleeding meckel's diverticulum: A study of the accuracy of pertechnetate scintigraphy as a diagnostic tool

European Journal of Radiology
Iain IrvineRoisin Hayes

Abstract

The reported accuracy of pertechnetate scintigraphy (Meckel scan) in investigating children with a bleeding Meckel's diverticulum has increased steadily since it was first introduced into clinical practice in 1970. Recent studies have indicated that the examination has a sensitivity of up to 94% and a specificity of up to 97% in this scenario. There have also been several misleading reviews from Departments of Surgery, suggesting that the Meckel scan has a poor predictive value, and should not be relied upon to exclude a bleeding Meckel's Diverticulum (MD). The aim of this study was to assess the accuracy of pertechnetate scintigraphy performed at Our Lady's Hospital for Sick Children, Crumlin (OLCHC) on children with clinical suspicion of a bleeding MD. This was a retrospective study of all the Meckel scans performed over a 10year period (2005-2015) in OLCHC, 144 in total. Of the total 144 scans performed, 22 were considered to be positive, and all patients were found to have a MD at surgery. 122 were negative, and in 53 of these patients, an alternative cause for symptoms was found, often at endoscopy. In the remaining 69 patients, no cause was found, despite full medical work-up. In all of these cases, symptoms resolved, and...Continue Reading

Citations

Sep 5, 2020·Der Radiologe·C KlothD Vogele
Feb 18, 2020·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Shintaro IchikawaUtaroh Motosugi
Oct 30, 2019·Korean journal of family medicine·Simon Roh
Jun 22, 2021·ANZ Journal of Surgery·Joshua You Jing WongNicholas Farkas
Jul 26, 2021·Journal of Pediatric Surgery·Tripti AgrawalArvind Sinha
Nov 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Emilio J Inarejos ClementeIgnasi Barber Martínez de la Torre

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