Sonographic findings of Meckel's diverticulitis.

An 18-year-old young man with no medical history presented at the emergency department with nausea, vomiting and pain in the right iliac fossa and the periumbilical region. Blood analysis was normal except for an elevated C-reactive protein (CRP) of 64 mg/L. High frequency gray-scale sonogram was performed and showed a normal presentation of the appendix. A tubular hypo-echogenic structure (length of 3 cm, width of 1 cm) with a cystlike center and an irregular thickened wall was discovered in the right periumbilical region (Fig. A). Color Doppler sonogram reveals a hypervascular wall (Fig. B) and infiltration of the surrounding mesenteric fat arrow in Fig. A and B). Diagnosis of Meckel diverticulitis was suggested, although a complicated duplication cyst could not be excluded. CT scan that followed showed a rim-enhancing tubular structure in the right peri-umbilical region with surrounding inflammatory changes (Fig. C). Surgery and pathology that followed confirmed a Meckel diverticulitis.