Presents with bleeding (when containing ectopic gastric mucosa), inflammation, intussusception, bowel obstruction, or perforation
Rule of 2s
Incidence: 2% of general population
Found within 2 feet of ileocecal valve
Most have clinical symptoms before 2 years of age
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
Ultrasonographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Hu Y et al: Diagnostic accuracy of high-frequency ultrasound in bleeding Meckel diverticulum in children. Pediatr Radiol. 50(6):833-9, 2020
Talathi S et al: Perforated Meckel diverticulum: a rare cause of acute abdomen in children. Pediatr Emerg Care. 36(5):e291-4, 2020
Chen Y et al: Bleeding Meckel diverticulum: a retrospective analysis of computed tomography enterography findings. J Comput Assist Tomogr. 43(2):220-7, 2019
McKelvie M et al: Beware the innocent presentation of a spontaneous perforated Meckel diverticulum: a rare case and review of the literature. Pediatr Emerg Care. 35(12):881-3, 2019
Casciani E et al: MR Enterography in paediatric patients with obscure gastrointestinal bleeding. Eur J Radiol. 93:209-16, 2017
Chatterjee A et al: Reminiscing on remnants: imaging of Meckel diverticulum and its complications in adults. AJR Am J Roentgenol. 209(5):W287-96, 2017
Rezvani M et al: Heterotopic pancreas: histopathologic features, imaging findings, and complications. Radiographics. 37(2):484-99, 2017
Francis A et al: Pediatric Meckel's diverticulum: report of 208 cases and review of the literature. Fetal Pediatr Pathol. 35(3):199-206, 2016
Ntoulia A et al: Failed intussusception reduction in children: correlation between radiologic, surgical, and pathologic findings. AJR Am J Roentgenol. 207(2):424-33, 2016
Sanchez TR et al: Sonography of abdominal pain in children: appendicitis and its common mimics. J Ultrasound Med. 35(3):627-35, 2016
Gezer HÖ et al: Meckel diverticulum in children: evaluation of macroscopic appearance for guidance in subsequent surgery. J Pediatr Surg. 51(7):1177-80, 2015
Kawamoto S et al: CT detection of symptomatic and asymptomatic Meckel diverticulum. AJR Am J Roentgenol. 205(2):281-91, 2015
Kunitsu T et al: Neonatal Meckel diverticulum: obstruction due to a short mesodiverticular band. Pediatr Int. 57(5):1007-9, 2015
Park JS et al: Suppurative Meckel diiverticulum in a 3-year-old girl presenting with periumbilical cellulitis. Pediatr Gastroenterol Hepatol Nutr. 18(1):66-70, 2015
Patel NB et al: Evaluating the patient with right lower quadrant pain. Radiol Clin North Am. 53(6):1159-70, 2015
Vali R et al: The value of repeat scintigraphy in patients with a high clinical suspicion for Meckel diverticulum after a negative or equivocal first Meckel scan. Pediatr Radiol. 45(10):1506-14, 2015
Anwar MO et al: Meckel's diverticulum with intussusception in a 5-year-old patient with Down's syndrome. BMJ Case Rep. 2014, 2014
Huang CC et al: Diverse presentations in pediatric Meckel's diverticulum: a review of 100 cases. Pediatr Neonatol. 55(5):369-75, 2014
Kim SW et al: MDCT findings of a Meckel's diverticulum with ectopic pancreatic tissue. Clin Imaging. 38(1):70-2, 2014
Kotha VK et al: Radiologist's perspective for the Meckel's diverticulum and its complications. Br J Radiol. 87(1037):20130743, 2014
Redmond P et al: Bowel obstruction due to multiple retained foreign bodies in a Meckel diverticulum. J Pediatr. 165(3):639-e1, 2014
Spottswood SE et al: SNMMI and EANM practice guideline for Meckel diverticulum scintigraphy 2.0. J Nucl Med Technol. 42(3):163-9, 2014
Fallon SC et al: Risk factors for surgery in pediatric intussusception in the era of pneumatic reduction. J Pediatr Surg. 48(5):1032-6, 2013
Han EJ et al: Adenocarcinoma arising in Meckel's diverticulum on 18F-FDG PET/CT. Clin Nucl Med. 38(3):e157-9, 2013
He Q et al: Double-balloon enteroscopy for diagnosis of Meckel's diverticulum: comparison with operative findings and capsule endoscopy. Surgery. 153(4):549-54, 2013
Kwait DC et al: Perforated Meckel's diverticulum presenting as a hematocele on scrotal sonography. J Clin Ultrasound. 41(4):242-4, 2013
Sinha CK et al: Meckel's scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years. Pediatr Surg Int. 29(5):511-7, 2013
Hegde S et al: MR enterography of perforated acute Meckel diverticulitis. Pediatr Radiol. 42(2):257-62, 2012
Kotecha M et al: Multimodality imaging manifestations of the Meckel diverticulum in children. Pediatr Radiol. 42(1):95-103, 2012
Pepper VK et al: Diagnosis and management of pediatric appendicitis, intussusception, and Meckel diverticulum. Surg Clin North Am. 92(3):505-26, vii, 2012
Sun C et al: Intestinal obstruction due to congenital bands from vitelline remnants: sonographic features and review of the literature. J Ultrasound Med. 31(12):2035-8, 2012
Thirunavukarasu P et al: Meckel's diverticulum--a high-risk region for malignancy in the ileum. Insights from a population-based epidemiological study and implications in surgical management. Ann Surg. 253(2):223-30, 2011
Bevernage C et al: Life-threatening lower gastrointestinal bleeding in a 2-year-old boy treated by transcatheter embolization: uncommon features of a complicated Meckel diverticulum. Pediatr Radiol. 40(10):1702-5, 2010
Durakbasa CU et al: Symptomatic omphalomesenteric duct remnants in children. Pediatr Int. 52(3):480-4, 2010
Wu YC et al: The 'wandering' Meckel diverticulum: an unusual scintigraphic finding. Pediatr Radiol. 40 Suppl 1:S103, 2010
Olson DE et al: CT findings in children with Meckel diverticulum. Pediatr Radiol. 39(7):659-63; quiz 766-7, 2009
Milbrandt K et al: Intussusception associated with a Meckel's diverticulum and a duplication cyst. J Pediatr Surg. 43(12):e21-3, 2008
Yang JC et al: Presumed appendiceal abscess discovered to be ruptured Meckel diverticulum following percutaneous drainage. Pediatr Radiol. 38(8):909-11, 2008
Baldisserotto M: Color Doppler sonographic findings of inflamed and perforated Meckel diverticulum. J Ultrasound Med. 23(6):843-8, 2004
Bennett GL et al: CT of Meckel's diverticulitis in 11 patients. AJR Am J Roentgenol. 182(3):625-9, 2004
Levy AD et al: From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic Correlation. Radiographics. 24(2):565-87, 2004
Ojha S et al: Meckel's diverticulum with segmental dilatation of the ileum: radiographic diagnosis in a neonate. Pediatr Radiol. 34(8):649-51, 2004
Rerksuppaphol S et al: Ranitidine-enhanced 99mtechnetium pertechnetate imaging in children improves the sensitivity of identifying heterotopic gastric mucosa in Meckel's diverticulum. Pediatr Surg Int. 20(5):323-5, 2004
Segal SD et al: Rare mesenteric location of Meckel's diverticulum, a forgotten entity: a case study aboard USS Kitty Hawk. Am Surg. 70(11):985-8, 2004
Singh MV et al: A fading Meckel's diverticulum: an unusual scintigraphic appearance in a child. Pediatr Radiol. 34(3):274-6, 2004
Adams BK et al: A moving Meckel's diverticulum on Tc-99m pertechnetate imaging in a patient with lower gastrointestinal bleeding. Clin Nucl Med. 28(11):908-10, 2003
Baldisserotto M et al: Sonographic findings of Meckel's diverticulitis in children. AJR Am J Roentgenol. 180(2):425-8, 2003
Danzer D et al: Bleeding Meckel's diverticulum diagnosis: an unusual indication for computed tomography. Abdom Imaging. 28(5):631-3, 2003
Jelenc F et al: Meckel's diverticulum perforation with intraabdominal hemorrhage. J Pediatr Surg. 37(6):E18, 2002
Presents with bleeding (when containing ectopic gastric mucosa), inflammation, intussusception, bowel obstruction, or perforation
Rule of 2s
Incidence: 2% of general population
Found within 2 feet of ileocecal valve
Most have clinical symptoms before 2 years of age
IMAGING
General Features
Radiographic Findings
Fluoroscopic Findings
Ultrasonographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Hu Y et al: Diagnostic accuracy of high-frequency ultrasound in bleeding Meckel diverticulum in children. Pediatr Radiol. 50(6):833-9, 2020
Talathi S et al: Perforated Meckel diverticulum: a rare cause of acute abdomen in children. Pediatr Emerg Care. 36(5):e291-4, 2020
Chen Y et al: Bleeding Meckel diverticulum: a retrospective analysis of computed tomography enterography findings. J Comput Assist Tomogr. 43(2):220-7, 2019
McKelvie M et al: Beware the innocent presentation of a spontaneous perforated Meckel diverticulum: a rare case and review of the literature. Pediatr Emerg Care. 35(12):881-3, 2019
Casciani E et al: MR Enterography in paediatric patients with obscure gastrointestinal bleeding. Eur J Radiol. 93:209-16, 2017
Chatterjee A et al: Reminiscing on remnants: imaging of Meckel diverticulum and its complications in adults. AJR Am J Roentgenol. 209(5):W287-96, 2017
Rezvani M et al: Heterotopic pancreas: histopathologic features, imaging findings, and complications. Radiographics. 37(2):484-99, 2017
Francis A et al: Pediatric Meckel's diverticulum: report of 208 cases and review of the literature. Fetal Pediatr Pathol. 35(3):199-206, 2016
Ntoulia A et al: Failed intussusception reduction in children: correlation between radiologic, surgical, and pathologic findings. AJR Am J Roentgenol. 207(2):424-33, 2016
Sanchez TR et al: Sonography of abdominal pain in children: appendicitis and its common mimics. J Ultrasound Med. 35(3):627-35, 2016
Gezer HÖ et al: Meckel diverticulum in children: evaluation of macroscopic appearance for guidance in subsequent surgery. J Pediatr Surg. 51(7):1177-80, 2015
Kawamoto S et al: CT detection of symptomatic and asymptomatic Meckel diverticulum. AJR Am J Roentgenol. 205(2):281-91, 2015
Kunitsu T et al: Neonatal Meckel diverticulum: obstruction due to a short mesodiverticular band. Pediatr Int. 57(5):1007-9, 2015
Park JS et al: Suppurative Meckel diiverticulum in a 3-year-old girl presenting with periumbilical cellulitis. Pediatr Gastroenterol Hepatol Nutr. 18(1):66-70, 2015
Patel NB et al: Evaluating the patient with right lower quadrant pain. Radiol Clin North Am. 53(6):1159-70, 2015
Vali R et al: The value of repeat scintigraphy in patients with a high clinical suspicion for Meckel diverticulum after a negative or equivocal first Meckel scan. Pediatr Radiol. 45(10):1506-14, 2015
Anwar MO et al: Meckel's diverticulum with intussusception in a 5-year-old patient with Down's syndrome. BMJ Case Rep. 2014, 2014
Huang CC et al: Diverse presentations in pediatric Meckel's diverticulum: a review of 100 cases. Pediatr Neonatol. 55(5):369-75, 2014
Kim SW et al: MDCT findings of a Meckel's diverticulum with ectopic pancreatic tissue. Clin Imaging. 38(1):70-2, 2014
Kotha VK et al: Radiologist's perspective for the Meckel's diverticulum and its complications. Br J Radiol. 87(1037):20130743, 2014
Redmond P et al: Bowel obstruction due to multiple retained foreign bodies in a Meckel diverticulum. J Pediatr. 165(3):639-e1, 2014
Spottswood SE et al: SNMMI and EANM practice guideline for Meckel diverticulum scintigraphy 2.0. J Nucl Med Technol. 42(3):163-9, 2014
Fallon SC et al: Risk factors for surgery in pediatric intussusception in the era of pneumatic reduction. J Pediatr Surg. 48(5):1032-6, 2013
Han EJ et al: Adenocarcinoma arising in Meckel's diverticulum on 18F-FDG PET/CT. Clin Nucl Med. 38(3):e157-9, 2013
He Q et al: Double-balloon enteroscopy for diagnosis of Meckel's diverticulum: comparison with operative findings and capsule endoscopy. Surgery. 153(4):549-54, 2013
Kwait DC et al: Perforated Meckel's diverticulum presenting as a hematocele on scrotal sonography. J Clin Ultrasound. 41(4):242-4, 2013
Sinha CK et al: Meckel's scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years. Pediatr Surg Int. 29(5):511-7, 2013
Hegde S et al: MR enterography of perforated acute Meckel diverticulitis. Pediatr Radiol. 42(2):257-62, 2012
Kotecha M et al: Multimodality imaging manifestations of the Meckel diverticulum in children. Pediatr Radiol. 42(1):95-103, 2012
Pepper VK et al: Diagnosis and management of pediatric appendicitis, intussusception, and Meckel diverticulum. Surg Clin North Am. 92(3):505-26, vii, 2012
Sun C et al: Intestinal obstruction due to congenital bands from vitelline remnants: sonographic features and review of the literature. J Ultrasound Med. 31(12):2035-8, 2012
Thirunavukarasu P et al: Meckel's diverticulum--a high-risk region for malignancy in the ileum. Insights from a population-based epidemiological study and implications in surgical management. Ann Surg. 253(2):223-30, 2011
Bevernage C et al: Life-threatening lower gastrointestinal bleeding in a 2-year-old boy treated by transcatheter embolization: uncommon features of a complicated Meckel diverticulum. Pediatr Radiol. 40(10):1702-5, 2010
Durakbasa CU et al: Symptomatic omphalomesenteric duct remnants in children. Pediatr Int. 52(3):480-4, 2010
Wu YC et al: The 'wandering' Meckel diverticulum: an unusual scintigraphic finding. Pediatr Radiol. 40 Suppl 1:S103, 2010
Olson DE et al: CT findings in children with Meckel diverticulum. Pediatr Radiol. 39(7):659-63; quiz 766-7, 2009
Milbrandt K et al: Intussusception associated with a Meckel's diverticulum and a duplication cyst. J Pediatr Surg. 43(12):e21-3, 2008
Yang JC et al: Presumed appendiceal abscess discovered to be ruptured Meckel diverticulum following percutaneous drainage. Pediatr Radiol. 38(8):909-11, 2008
Baldisserotto M: Color Doppler sonographic findings of inflamed and perforated Meckel diverticulum. J Ultrasound Med. 23(6):843-8, 2004
Bennett GL et al: CT of Meckel's diverticulitis in 11 patients. AJR Am J Roentgenol. 182(3):625-9, 2004
Levy AD et al: From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic Correlation. Radiographics. 24(2):565-87, 2004
Ojha S et al: Meckel's diverticulum with segmental dilatation of the ileum: radiographic diagnosis in a neonate. Pediatr Radiol. 34(8):649-51, 2004
Rerksuppaphol S et al: Ranitidine-enhanced 99mtechnetium pertechnetate imaging in children improves the sensitivity of identifying heterotopic gastric mucosa in Meckel's diverticulum. Pediatr Surg Int. 20(5):323-5, 2004
Segal SD et al: Rare mesenteric location of Meckel's diverticulum, a forgotten entity: a case study aboard USS Kitty Hawk. Am Surg. 70(11):985-8, 2004
Singh MV et al: A fading Meckel's diverticulum: an unusual scintigraphic appearance in a child. Pediatr Radiol. 34(3):274-6, 2004
Adams BK et al: A moving Meckel's diverticulum on Tc-99m pertechnetate imaging in a patient with lower gastrointestinal bleeding. Clin Nucl Med. 28(11):908-10, 2003
Baldisserotto M et al: Sonographic findings of Meckel's diverticulitis in children. AJR Am J Roentgenol. 180(2):425-8, 2003
Danzer D et al: Bleeding Meckel's diverticulum diagnosis: an unusual indication for computed tomography. Abdom Imaging. 28(5):631-3, 2003
Jelenc F et al: Meckel's diverticulum perforation with intraabdominal hemorrhage. J Pediatr Surg. 37(6):E18, 2002