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Intestinal Neoplasm Mimicking a Meckel's Diverticulum On Scintigraphic Imaging

MEHALL, CHRISTOPHER J., M.D.; KLEIN, ROGER M., M.D.; MUZ, JAROSLAW, M.D.; DAVIS, LAWRENCE P., M.D.

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A 33-year-old man presented with colicky, intermittent, midabdominal pain with nausea and vomiting. A Tc-99m pertechnetate abdominal scan was performed and revealed a focal area of increased uptake in the midabdomen associated with dilated proximal loops of small bowel. Surgery revealed a high-grade partial obstruction of the midportion of the jejunum secondary to an annular adenocarcinoma of the jejunum. This is the first known report of abnormal Tc-99m pertechnetate accumulation in an adenocarcinoma of the small bowel.

From the Department of Radiology, Wayne State University, Detroit, Michigan

© Lippincott-Raven Publishers.