Migrating calcified enterolith and chronic anemia: an unusual case presentation of a Meckel's diverticulum

M J Arca1, C Corpron, F Long

  • 1Department of Pediatric Surgery, Children's Hospital of Wisconsin, Milwaukee, WI, USA. MArca@chw.org

Insights

A rare Meckel

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Meckel's diverticulum is the most common congenital small intestine anomaly.
  • Common complications include obstruction, bleeding, and inflammation.
  • Symptomatic risk decreases with age.

Observation:

  • A 19-month-old male presented with abdominal pain, vomiting, and anemia.
  • Imaging revealed a calcified stone in the lower abdomen.
  • The patient was diagnosed with a Meckel's enterolith.

Findings:

  • This case represents the first reported instance of a Meckel's enterolith in a pediatric patient.
  • Enteroliths are a rare complication of Meckel's diverticulum, previously only documented in adults.
  • The pediatric enterolith was associated with chronic microcytic anemia.

Implications:

  • Highlights the possibility of enterolith formation in pediatric Meckel's diverticulum.
  • Suggests considering Meckel's enterolith in the differential diagnosis for pediatric patients with unexplained anemia and abdominal symptoms.
  • Emphasizes the need for further investigation into pediatric enterolith complications.

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