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Article |

Futility of Barium Sulfate in Diagnosis of Bleeding Meckel Diverticulum

Michael M. Meguid, MD; Robert H. Wilkinson, MD; Timothy Canty, MD; Angelo J. Eraklis, MD; Salvador Treves, MD
Arch Surg. 1974;108(3):361-362. doi:10.1001/archsurg.1974.01350270091016.
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Thirty-two infants underwent surgery, during a 21-year period, for painless rectal bleeding due to Meckel diverticulum. Radiological examinations do not help in the diagnosis of this lesion.

Three infants had no radiological investigation before surgery. Twenty-nine infants had a barium sulfate enema, fourteen an upper gastrointestinal examination, and four had a small bowel examination. The cause of bleeding was not determined.

It is questioned whether radiological examination of the gastrointestinal tract should constitute a part of the routine investigation in a previously healthy infant who has painless rectal bleeding. The yield in making a correct diagnosis is greater from a careful history, the finding of a benign abdomen, and normal findings from sigmoidoscopic examination.

Abdominal scanning with sodium pertechnetate Tc 99m, which is selectively taken up by normal and aberrant gastric mucosa, is a helpful diagnostic tool.


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