PMC4897023_01
74-year-old man with Meckel's diverticulitis. Photomicrographs at low power (A) and medium power (B) show ectopic colonic-type mucosa and transmural diverticulitis. Courtesy of Rebecca Osgood, M.D., Cambridge Hospital Department of Pathology.
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A supine abdominal radiograph revealed cholelithiasis and mildly dilated loops of small bowel, while an upright abdominal radiograph showed several air-fluid levels (Fig. 1).
74-year-old man with Meckel's diverticulitis. Supine abdominal radiograph shows cholelithiasis (arrow) and dilated loops of small bowel (arrowhead)
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Axial views revealed a midline 1.7 cm mass with central fluid attenuation adjacent to the distal ileum, with an enhancing wall and without oral contrast present in the lumen, representing a diverticulum or abscess (Fig. 2).
Upright abdominal radiograph shows dilated loops of small bowel, with multiple air fluid levels (arrows)
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Fig. 3 is a photograph of the inflamed diverticulum captured by the laparoscope during the procedure and Fig. 4 is a photograph of the gross pathologic specimen.