Abstract:Objective: To discuss the features and diagnostic values of sonography in Meckel’s Diverticulum (MD). Methods: Retrospective analysis is carried out on 24 child patients diagnosed of MD via ultrasonography at our hospital between July 2014 and September 2017. We seek to summarise the characteristics of ultrasound images for MD cases by cross-checking them against surgical pathology results. Results: Pathology reports confirmed correct diagnosis of MD in 15 out of the 24 cases. Among the misdiagnosed cases, 5 suffered from intestinal duplications, 1 intussusceptions, 2 appendicitis and 1 from foreign bodies in the GI tract. Out of the 15 correctly diagnosed MD cases, 5 had sonographic images featuring cystic masses, 7 featuring thick walls and 3are mixed-type . Further, 4 of these cases developed secondary intussusceptions; 1 exhibited diverticular haemorrhage and necrosis and 1 inflammation; 1 had intestinal duplication and 1 appendicitis, concurrent with MD. Conclusion: Ultrasonography is of value in the presumptive diagnosis of MD. In particular, for children suffering from repeated hematochezia or acute abdomen who require thorough investigations into the existence of MD, ultrasonography proves a non-invasive and convenient technique for a first choice in the screening process and is able to provide timely evidence for a clinical diagnosis.