This 49 y/o male came to the ER complaining of acute onset of abdominal pain and nausea. He had no history of previous surgery. There was right lower quadrant tenderness with questionable rebound, temp - 994 F orally, WBC count - 11,000 /mm3. A CT scan was requested to evaluate him for appendicitis. Selected images from the CT performed after the rectal administration of contrast shown above demonstrate findings consistent with an intussusception. Ileal intussusception due to invagination of a Meckel's diverticulum was found at surgery.

  1. Pantongrag-Brown L, Levine MS, Elsayed AM, Buetow PC, Agrons GA, Buck JL. Inverted Meckel diverticulum: clinical, radiologic, and pathologic findings. Radiology 1996 Jun;199(3):693-6 UI:96220527
  2. Van Hee R, Brewaeys P, Buyssens N. Ileal intussusception due to invagination of Meckel's diverticulum. Acta Chir Belg 1992 Jan-Feb;92(1):55-9 UI:92206097
  3. Rubesin SE, Herlinger H, De Gaeta L. Test your skills. Inverted Meckel diverticulum with intussusception. Radiology 1990 Sep;176(3):636, 644 UI:90356756
  4. Blakeborough A, McWilliams RG, Raja U, Robinson PJ, Reynolds JV, Chapman AH. Pseudolipoma of inverted Meckel's diverticulum: clinical, radiological and pathological correlation. Eur Radiol 1997;7(6):900-4 UI:97373649
  5. Chen YM, Teague RS, Wolfman NT, Ott DJ. Inverted Meckel's diverticulum. Comput Med Imaging Graph 1989 Nov-Dec;13(6):477-9 UI:90090407
    Comment in: Comput Med Imaging Graph 1990 Jul-Aug;14(4):281
  6. Williamson RC, Cooper MJ, Thomas WE. Intussusception of invaginated Meckel's diverticulum. J R Soc Med 1984 Aug;77(8):652-5 UI:85009589
  7. McKenzie G, Gault EW, Wood IJ. Meckel's diverticulum: invagination causing recurrent ileal obstruction. Aust N Z J Surg 1966 May;35(4):272-6 UI:66141261
  8. Lipshutz GR, Katon RM, Eidemiller L. Gastrointestinal bleeding due to an invaginated and intussuscepted Meckel's diverticulum diagnosed by intraoperative ileoscopy. Gastrointest Endosc 1978 May;24(4):177-8 UI:78169861
  9. Martin JP, Connor PD, Charles K. Meckel's diverticulum. Am Fam Physician 2000 Feb 15;61(4):1037-42, 1044 UI:20168673
  10. Diamond T, Russell CF. Meckel's diverticulum in the adult. Br J Surg 1985 Jun;72(6):480-2 UI:85253643
  11. Ymaguchi M, Takeuchi S, Awazu S. Meckel's diverticulum. Investigation of 600 patients in Japanese literature. Am J Surg 1978 Aug;136(2):247-9 UI:78254660
  12. Kovarik JL. Meckel's diverticulum: a surgical dilemma? Int Surg 1981 Oct-Dec;66(4):315-7 UI:82238610
  13. Agha FP. Intussusception in adults. AJR Am J Roentgenol 1986 Mar;146(3):527-31 UI:86126824
  14. te Strake L. Intussusception in adults. Diagn Imaging 1980;49(1):15-22 UI:80133969
  15. Aston SJ, Machlfeder HI. Intussusception in the adult. Am Surg 1975 Sep;41(9):576-80 UI:76038135

Use the Back or Backward button on your browser to return