Fig. 4

A 3-year-old boy presenting with bleeding per rectum. a 2D and b colour Doppler ultrasound examination revealed typical pseudogestational sac sign suggesting Meckel’s diverticulum with hypervascularity on colour Doppler. c Nuclear study performed the following day was false negative for Meckel’s. The boy presented 6 years later with recurrent bleeding per rectum. d Ultrasound examination revealed a large intussusception (solid white arrow) with a large Meckel’s diverticulum (open white arrow) as the leading point. e Contrast enema was done with failed reduction after three attempts. f Intraoperative photograph showing a large gangrenous Meckel’s diverticulum after intussusception reduction. Limited right hemicolectomy with ileo-ascending anastomosis was performed. Histopathology revealed gangrenous Meckel’s diverticulum with intramural and extramural gastric and pancreatic heterotopia