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© 2004 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 23:843-848 • 0278-4297

Case Series

Color Doppler Sonographic Findings of Inflamed and Perforated Meckel Diverticulum

Matteo Baldisserotto, MD

Department of Radiology, Hospital da Criança Conceição–Ministério da Saúde, Porto Alegre, Brazil.

Address correspondence and reprint requests to Matteo Baldisserotto, MD, Rua Eça de Queiroz 384/502, 90670-020 Porto Alegre, RS, Brazil. E-mail: matteo{at}via-rs.net.

Objective. To describe color Doppler sonographic findings in 2 cases of inflamed and perforated Meckel diverticulum. Methods. Two patients with inflamed and perforated Meckel diverticulum underwent color Doppler sonographic studies. Results. Gray scale sonographic examination identified a fixed cystlike structure with a gut signature surrounded by a hyperechoic layer. Color Doppler sonography revealed hyperemia in the diverticular wall and hyperechoic layer, which was more intense in 1 patient. Conclusions. Identification of a fixed cystlike structure with a gut signature and wall hyperemia suggests the diagnosis of inflamed Meckel diverticulum; when a hyperechoic layer surrounds this structure, perforation of the diverticulum should be suspected.

Key Words: Doppler sonography • inflamed diverticulum • Meckel diverticulum • perforated diverticulum




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Copyright © 2004 by the American Institute of Ultrasound in Medicine.