ABSTRACT
A 28-year-old Chinese man presented with acute bleeding per rectum. Computed tomography showed a posterior outpouching arising from the distal ileum. The outpouching had hyperaemic walls, but no active contrast extravasation was detected. Technetium-99m pertechnetate scintigraphy showed focal areas of abnormal uptake in the right side of the pelvis, superior and posterior to the urinary bladder. These areas of uptake appeared simultaneously with the gastric uptake and demonstrated gradual increase in intensity on subsequent images. The diagnosis of Meckel's diverticulum was confirmed on surgery and the lesion was resected. The clinical and imaging features of Meckel's diverticulum are discussed.
Subject(s)
Adult , Female , Humans , Male , Abdominal Pain , Gastrointestinal Hemorrhage , Diagnosis , Diagnostic Imaging , Ileum , Diagnostic Imaging , Meckel Diverticulum , Diagnosis , Diagnostic Imaging , Radionuclide Imaging , Radiopharmaceuticals , Sodium Pertechnetate Tc 99m , Tomography, X-Ray ComputedABSTRACT
Primary Healthcare Centers [PHCs] play a vital role in public health system in rural areas in India. Some, of the patients visiting these PHCs are then referred to tertiary care facilities. Reasons for referral include unsure diagnosis or inadequate facilities for treatment. In this study almost 86% of patients showed improvement after treatment at referral centers while twelve referred patients did not seek treatment after getting symptomatic relief. Two referred patients, one with uncontrolled diabetes and the other with AMI died. IHD in rural areas need special attention. We feel that establishing a link between Primary Health Care Centers and tertiary care centers besides building capacity of PHC centers to manage chronic diseases needs special attention