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Migrating calcified enterolith and chronic anemia: an unusual case presentation of a Meckel's diverticulum
1Department of Pediatric Surgery, Children's Hospital of Wisconsin, Milwaukee, WI, USA. MArca@chw.org
Abstract:
Meckel's diverticulum is the most common congenital anomaly of the small intestine, occurring in about 2 % of the population. The most common complications associated with a Meckel's diverticulum include obstruction, bleeding, and inflammation (7, 9, 11, 18-20). The estimated lifetime risk of developing symptoms with a Meckel's diverticulum is 4-6 % (16), with the risks of complications decreasing with age. Stones within Meckel's diverticulum are recognized as a rare complication in the adult population (13,15). However, it has not been reported in the pediatric age group. The authors describe a 19-month-old male who presented with intermittent abdominal pain and vomiting, chronic microcytic anemia and a calcified stone in the lower abdomen, who was found to have a Meckel's enterolith.
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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