Color Doppler sonographic findings of inflamed and perforated Meckel diverticulum.

OBJECTIVE

To describe color Doppler sonographic findings in 2 cases of inflamed and perforated Meckel diverticulum.

METHODS

Two patients with inflamed and perforated Meckel diverticulum underwent color Doppler sonographic studies.

RESULTS

Gray scale sonographic examination identified a fixed cystlike structure with a gut signature surrounded by a hyperechoic layer. Color Doppler sonography revealed hyperemia in the diverticular wall and hyperechoic layer, which was more intense in 1 patient.

CONCLUSIONS

Identification of a fixed cystlike structure with a gut signature and wall hyperemia suggests the diagnosis of inflamed Meckel diverticulum; when a hyperechoic layer surrounds this structure, perforation of the diverticulum should be suspected.