Buscar en
Radiología (English Edition)
Toda la web
Inicio Radiología (English Edition) Computed tomography of complicated Meckel's diverticulum in adults
Journal Information
Vol. 61. Issue 4.
Pages 297-305 (July - August 2019)
Download PDF
More article options
Vol. 61. Issue 4.
Pages 297-305 (July - August 2019)
Radiology through images
Computed tomography of complicated Meckel's diverticulum in adults
Tomografía computarizada del divertículo de Meckel complicado en adultos
C. Parra-Fariñasa,
Corresponding author

Corresponding author.
, S. Quiroga-Gomeza, S. Castro-Boixb, F. Vallribera-Vallsb, E. Castellà-Fierroa
a Departamento de Radiología, Hospital Universitari Vall d’Hebron, Barcelona, Spain
b Departamento de Cirugía General y Digestiva, Hospital Universitari Vall d’Hebron, Barcelona, Spain
Article information
Full Text
Download PDF
Figures (8)
Show moreShow less

To review the embryology, the clinical findings and the appearance in multidetector computed tomography (MDCT) of complicated Meckel's diverticulum (DM) in adults.


The presence of an MD in a MDCT should be suspected when a blind tubular structure connected to the terminal ileum by a neck of variable size is observed. Multiplanar 2D reconstructions images and CT enterography can help in the diagnosis. In patients with symptoms of obstruction or intestinal inflammation, the possibility of a complication secondary to a MD should be considered, especially when the terminal ileum and the vermiform appendix are normal. MDCT angiography, in cases of acute gastrointestinal bleeding, can identify contrast extravasation and accumulation of blood in the MD, and could demonstrate the persistent omphalomesenteric artery, which is diagnostic of MD. Other MDCT findings such as the presence of enteroliths or associated inflammatory changes around the MD can facilitate the preoperative diagnosis of MD complications.

Meckel diverticulum
Diverticular diseases
Computed tomography multidetector

Revisar la embriología, los hallazgos clínicos y la apariencia en la tomografía computarizada multidetector (TCMD) del divertículo de Meckel (DM) complicado en adultos.


La presencia de un DM en una TCMD debe sospecharse cuando se observa una estructura tubular ciega conectada al íleon terminal por un cuello de tamaño variable. Las reconstrucciones multiplanares y la enterografía por TC pueden ayudar al diagnóstico. En pacientes con síntomas de obstrucción o inflamación intestinal, se debe considerar la posibilidad de un DM complicado; especialmente cuando el íleon terminal y el apéndice vermiforme son normales. La angiografía por TCMD, en casos de hemorragia digestiva aguda, puede identificar extravasación de contraste y acumulación de sangre en el DM. La observación de la arteria onfalomesentérica es diagnóstica de DM. Otros hallazgos en la TCMD, como la presencia de enterolitos o cambios inflamatorios en torno al DM, pueden facilitar el diagnóstico.

Palabras clave:
Divertículo de Meckel
Enfermedades diverticulares
Tomografía computarizada multidetector


These are the options to access the full texts of the publication Radiología (English Edition)

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos