PMC9897713_01
Examination images - computed tomography, portal phase, performed as an emergency, without oral contrast. Yellow arrows point to a blind-end loop in the right iliac fossa, raising a diagnostic hypothesis of Meckel's diverticulum
2317-6385-eins-21-eRC0173-gf01.jpg
PMC9897713_01_2317-6385-eins-21-eRC0173-gf01.jpg
f01
The ultrasound result again showed no abnormalities, and emergency computed tomography (CT) was performed as shown in figure 1; in the venous phase, a blind-end loop in the right iliac fossa that could correspond to MD, with emphasis on parietal thickening and casting of the same, with contrast medium enhancement.
Examination images - enterotomography performed with negative oral contrast and with arterial phase for vascular evaluation. Blue circles demonstrate the presence of a diverticulum, which is mobile compared to the previous study, in this one in the left paramedian region of the pelvis with mucosal hyper-enhancement and suggestion of invagination of the same. Feeding artery is observed along the diverticulum
2317-6385-eins-21-eRC0173-gf02.jpg
PMC9897713_01_2317-6385-eins-21-eRC0173-gf02.jpg
f02
The findings in figure 2 confirm the presence of MD, mobile in the comparison between the tomographic studies, located in the median/left paramedian region of the pelvis, superior to the bladder dome.
Screen photo in videolaparoscopy. Left, Meckel's diverticulum invaginated into the lumen of the small intestine; on the right, Meckel's diverticulum rectified out of the small intestine lumen
2317-6385-eins-21-eRC0173-gf03.jpg
PMC9897713_01_2317-6385-eins-21-eRC0173-gf03.jpg
f03
A Meckel's diverticulum with a wide base and partial invagination was identified (Figure 3).
Photo of the specimen resulting from intestinal resection. On the left, a photo of a piece containing an invaginated Meckel's diverticulum; on the right, photo of the part containing the rectified Meckel's diverticulum
2317-6385-eins-21-eRC0173-gf04.jpg
PMC9897713_01_2317-6385-eins-21-eRC0173-gf04.jpg
f04