Meckel's diverticulum: angiographic findings in 16 patients.

Meckel's diverticulum: angiographic findings in 16 patients. Research Abstract Details 

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Meckel's diverticulum: angiographic findings in 16 patients. Abstract Text:

A W Mitchell,J Spencer,D J Allison,J E Jackson,

OBJECTIVE: The purpose of this study was to assess the sensitivity of angiography in revealing the vitellointestinal artery or other arteriographic abnormalities in patients in whom surgery subsequently proved Meckel's diverticulum. MATERIALS AND METHODS: From the 36 patients who had undergone a Meckel's diverticulectomy between 1980 and 1997 at Hammersmith Hospital or a referring hospital, we selected 18 who had undergone preoperative angiography at our institution. Case notes and angiograms of these 18 patients were reviewed for the presence of a persistent vitellointestinal artery or other angiographic evidence of a Meckel's diverticulum. RESULTS: Angiograms of 16 of 18 patients were available for review. A striking male preponderance existed (male:female = 13:3). Mean age was 28 years (range, 12-65 years). In 11 (69%) of the 16 patients, a persistent vitellointestinal artery was seen that had been noted at the time of the study and reported before surgery for nine patients. Other angiographic abnormalities at the site of the Meckel's diverticulum were present in four patients and included a vascular blush, early venous return, and arterial irregularity. CONCLUSION: Angiography will show a persistent vitellointestinal artery in most individuals with a Meckel's diverticulum who present with chronic gastrointestinal bleeding. However, the recognition of a persistent vitellointestinal artery may be difficult because of overlying vessels, and superselective catheterization of distal ileal arteries may be necessary.

Meckel's diverticulum: angiographic findings in 16 patients. Publishing Authors By Initials

AW Mitchell,J Spencer,DJ Allison,JE Jackson,

For similar embryonic structures: vitelline duct research abstracts see: embryonic structures: vitelline duct research

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Meckel's diverticulum: angiographic findings in 16 patients. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: AJR. American journal of roentgenology

VOLUME: 170

Page Numbers: 1329-33

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ISSN: 0361-803X

DAY: 15

MONTH: May

YEAR: 1998

Meckel's diverticulum: angiographic findings in 16 patients. Information

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LANGUAGE: eng

NlmUniqueID: 7708173

Meckel's diverticulum: angiographic findings in 16 patients. Keywords Mesh Terms:

KEYWORDS: Vitelline Duct

MESH TERMS: blood supply

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Grant and Affiliation Information for Meckel's diverticulum: angiographic findings in 16 patients.

AFFILIATION: Department of Imaging, Imperial College of Science, Technology and Medicine, Hammersmith Hospital, London, United Kingdom.

Country: UNITED STATES

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MEDLINETA: AJR Am J Roentgenol

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