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Diagnosis of an ileal duplication with sodium pertechnetate ⁹⁹Tc^m

Wessex Regional Department of Nuclear Medicine, and Wessex Paediatric Surgical Centre, Southampton General Hospital

This excerpt was created in the absence of an abstract.

Massive rectal haemorrhage is an alarming symptom at any age, but particularly in an infant, and will often require surgical intervention. Localization of the bleeding source prior to surgery is preferable to performing a "oblind" laparotomy. The most common cause of this problem in infancy is peptic ulceration associated with ectopic gastric mucosa in either a Meckel's diverticulum or an enteric duplication (Jones, 1976). ⁹⁹Tc^m pertechnetate scanning has successfully detected the more common Meckel's diverticulum pre-operatively (Jewett, et al., 1970). We have demonstrated a duplication of the terminal ileum presenting with rectal bleeding by this technique.

Received for publication December 1, 1977.