The abdominal technetium scan (a decade of experience)

Journal Article · Fri Oct 01 00:00:00 EDT 1982 · J. Pediatr. Surg.; (United States)

DOI:https://doi.org/10.1016/S0022-3468(82)80121-8· OSTI ID:6097314

Cooney, D R; Duszynski, D O; Camboa, E; Karp, M P; Jewett, Jr, T C

Out of 270 children with gastrointestinal symptoms, the indications for technetium scanning were: gastrointestinal tract bleeding (165 patients), abdominal pain (99 patients) and a history of intussusception (6 patients). Thirty children had abnormal findings, while the remaining 240 patients had normal scans. Four of the 30 children with positive scans were not explored, while the others underwent laparotomy. Of the 26 operated patients, 12 (46%) had a Meckel's diverticulum. Nine patients (34%) had other pathologic lesions that were detected by the scan. Five had true false positives as no pathologic lesions were found. Of the 240 children with negative scans, 19 were eventually explored because of persistent symptoms or clinical findings. Two of these had a Meckel's diverticulum. Eleven had a negative exploration while six had other surgical lesions. Technitium scan should reliably detect around 80%-90% of Meckel's diverticula. It will also accurately exclude the diagnosis of Meckel's diverticulum in over 90% of patients.

• Research Organization: Children's Hospital of Buffalo, NY
• OSTI ID: 6097314
• Journal Information: J. Pediatr. Surg.; (United States), Vol. 17:5
• Country of Publication: United States
• Language: English

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62 RADIOLOGY AND NUCLEAR MEDICINE
ABDOMEN
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ACCURACY
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DIAGNOSIS
HEMORRHAGE
PATHOLOGY
PATIENTS
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AGE GROUPS
BODY
BODY AREAS
COUNTING TECHNIQUES
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