Author/Authors :
آيتي، نرجس خاتون نويسنده 1Nuclear Medicine Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Ayati, Narjes-Khatoon , زكوي، سيد رسول نويسنده Nuclear Medicine Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Zakavi, Seyed Rasoul , صادقي ، رامين نويسنده , , دباغ كاخكي، وحيدرضا نويسنده بخش پزشكي هسته اي، بيمارستان امام رضا(ع)، دانشگاه علوم پزشكي مشهد ,
Abstract :
Tc-99m pertechnetate scintigraphy is the modality of choice for diagnosis of Meckel’s
diverticulum. Interpretation of Meckel’s scan identifies a focal area of radiopharmaceutical
uptake in the anterior abdomen similar to normal gastric mucosa. The activity must be of the
same pattern and intensity as gastric uptake. We present a 13-year-old patient with
gastrointestinal bleeding and anemia. Tc-99m pertechnetate scintigraphy was performed and
initial images did not show any abnormal tracer activity in the abdomen. However, imaging
continued and a focal activity was detected on the right side of the abdomen 60 minutes delayed
image. Follow laparascope operation the Meckel’s diverticulum was removed and the patient’s
symptoms disappeared completely. It is suggest to pay special attention to delayed images (60
minutes or beyond) especially when earlier images are negative.
