Tubular Intestinal Duplication Harboring Gastric Ectopia Accurately Diagnosed by Tc-99m Pertechnetate Single-photon Emission Computed Tomography/Computed Tomography Meckel's Scan

Ioannis Spyridakis; Domenica Lopresti; Stamata Georga; Chrysostomos Kepertis; Ioannis Efstratiou; Georgios Arsos

doi:10.4103/ijnm.IJNM_25_17

Tubular Intestinal Duplication Harboring Gastric Ectopia Accurately Diagnosed by Tc-99m Pertechnetate Single-photon Emission Computed Tomography/Computed Tomography Meckel's Scan

Indian J Nucl Med. 2017 Oct-Dec;32(4):361-362. doi: 10.4103/ijnm.IJNM_25_17.

Authors

Ioannis Spyridakis¹, Domenica Lopresti², Stamata Georga², Chrysostomos Kepertis¹, Ioannis Efstratiou³, Georgios Arsos²

Affiliations

¹ Department of Pediatric Surgery, School of Medicine, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.
² Department of Nuclear Medicine, School of Medicine, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.
³ Department of Pathology, Papageorgiou General Hospital, Thessaloniki, Greece.

Abstract

A 7-year-old girl with an episode of hematochezia and melena, suspicious for bleeding Meckel's diverticulum, was referred for a Tc-99m pertechnetate Meckel's scan. On dynamic planar scan, apart from prompt gastric visualization an oval-shaped, area of inhomogeneous tracer uptake was observed in the left lower quadrant of the abdomen. Subsequent single-photon emission computed tomography/computed tomography localized this to intestinal lumen, thus establishing the diagnosis of intestinal duplication (ID) with functional gastric mucosa. Surgical exploration confirmed the presence of a tubular ID in a distance of 1.5 m from the ileocecal valve and pathologic examination showed gastric mucosa lining the lumen of the duplication.

Keywords: Ectopic gastric mucosa; Tc-99m pertechnetate scintigraphy; intestinal duplication; single-photon emission computed tomography/computed tomography.