Promising role of single photon emission computed tomography/computed tomography in Meckel's scan
A 10-year-old male presented on 16/02/12 with 3 months history of abdominal pain and episodes of bleeding (P/R). Upper upper gastrointestinal (GI) endoscopy (UGIE) and colonoscopy was carried out and was normal. Routine blood investigation revealed anemia (Hb = 7.9 Gm%). He was hospitalized for recurrent symptoms. His presentation suggested an obscure-overt source of GI bleeding. Meckel's scan was carried out and dynamic as well as static images were acquired. Initial images does not reveal any abnormal focus of tracer uptake, However, in view of clinical presentation strongly suggesting heterotopic gastric mucosal location, delayed static views at 60 min were acquired, which showed a focus of tracer uptake in the mid line of lower abdomen []. Furthermore, fused SPECT-CT imaging showed focal uptake in the distal ileum [Figures and ]. The patient underwent Meckel's diverticulectomy with sparing of adjacent bowel. Histopathology confirmed the heterotopic location of gastric mucosa [].