Promising role of single photon emission computed tomography/computed tomography in Meckel's scan
A 3.5-year-old male presented on 18/05/12 with complaints of two episodes of passage of clots in stools in past 7 days associated with episodic colicky pain abdomen and vomiting. There was similar episode of bleeding P/R in Feb 2012, which was treated as dysentery. Complete blood count showed anemia (Hb = 5.1 Gm%). Patient was hospitalized and 2 units of blood were transfused. Colonoscopy revealed blood clots until the splenic flexure of colon and no other pathology. Meckel's scan was carried out and dynamic as well as static images were acquired. A focus of intense tracer uptake in the right paramedian lower abdomen was seen. Fused SPECT/CT images showed malrotated ectopic kidney in the same location [Figures and ]. Thus, the study was negative for Ectopic gastric mucosa. Video colonoscopy commented a doubtful lesion in the terminal ilieum,? Koch's. ultrasongraphy abdomen was normal, except malrotated left kidney. Patient was advised review after 3 months.