99mTc-PERTECHNETATE SCAN IN DIAGNOSING MECKEL’S DIVERTICULUM. Meckel divertikülü tan?s?nda Tc99m Pertechnetate sintigrafisinin yeri.

摘要

Meckel’s diverticulum (MD) is one of the commonest congenital anomaly of the gastro-intestinal tract involving the small bowel. A pre-operative diagnosis of a MD is often difficult to make. 99mTc-pertechnetate scintigraphy is helpful in diagnosing the presence of ectopic gastric mucosa. We had a 2 year old boy presented with blood stained stool for 3 months. While abdominal ultrasound and upper gastroiintestinal endoscopy could not make the diagnosis. 99mTc-Pertechnetate scan showed abnormally increased tracer uptake in the umbilical region. He then underwent diagnostic laparoscopy and open resection of the MD and end to end anastomosis. The resected specimen subsequently found to contain gastric mucosa on histopathological examination. Here in, we discused the case in view of the literature. ?ZET Meckel divertikülü ince barsaklar? tutan ve gastrointestinal sistemde en fazla kar??la??lan anomalidir. Ameliyat ?ncesinde hastal???n tan?s? olduk?a zor olup, Tc99m Pertechnetate sintigrafisi ile mide mukozas?n?n ektopik yerle?iminin g?sterilmesi tan?ya yard?mc? olabilir. Burada, ü? ayd?r kanla kar???k gayta yapan Meckel divertiküllü iki ya??ndaki bir ?ocuk hasta sunulmu?tur. Yap?lan gastrointestinal sistem endoskopileri ve ultrasonografi ile tan? konulamayan hastada, Tc99m Pertechnetate sintigrafisi ile g?bek b?lgesinde aktivite tutulumu saptand?. Yap?lan diagnostik laparoskopi ile Meckel divertikülü saptand? ve rezeksiyon ile u? uca anastomoz yap?ld?. Spesmenin incelenmesi sonucunda mide mukozas? saptand?. Burada vaka literatür verileri ?????nda tart???lm??t?r.