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The Coexistence of a Horseshoe Kidney and Meckel Diverticulum With Dramatic Mobility Revealed Through 99mTc Pertechnetate Imaging

Yang, Jun, MD; Dong, Meng-jie, MD, PhD; Xu, Qin, MD; Zhang, Jun, MD

doi: 10.1097/RLU.0000000000002270
Interesting Images

A previously healthy 11-year-old boy with intermittent abdominal pain and bloody stool underwent Meckel scintigraphy. On the initial images, there was a faint U-shaped activity in the mid-abdominal region, which gradually faded and evolved into distinct foci of radiotracer accumulation in the later images. One of the foci changed its location during the study, suspected as moving Meckel diverticulum. A horseshoe kidney was noted by subsequent CT images, which corresponded to nonmoving foci. A Meckel diverticulum was confirmed after exploratory laparotomy, accounted for moving focus on Merkel scintigraphy.

From the Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People’s Republic of China.

Received for publication May 17, 2018; revision accepted July 24, 2018.

Conflicts of interest and sources of funding: J.Y. was supported by Science and Technology Planning Project of Zhejiang Province (2017KY061). None declared to all other authors.

Correspondence to: Meng-Jie Dong, MD, PhD, The Department of Nuclear Medicine, The First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79 Qingchun Road, Hangzhou, Zhejiang Province, 310003, People’s Republic of China. E-mail: dmjlzf2016@zju.edu.cn.

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