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Suppurative meckel diiverticulum in a 3-year-old girl presenting with periumbilical cellulitis
Ji Sook Park1, Chun Woo Lim1, Taejin Park2
1Department of Pediatrics, Institute of Health Science, Gyeongsang National University Hospital, Jinju, Korea.
Abstract:
Meckel diverticulum (MD) is one of the most common congenital gastrointestinal anomalies and occurs in 1.2-2% of the general population. MD usually presents with massive painless rectal bleeding, intestinal obstruction or inflammation in children and adults. Suppurative Meckel diverticulitis is uncommon in children. An experience is described of a 3-year-old girl with suppurative inflammation in a tip of MD. She complained of acute colicky abdominal pain, vomiting and periumbilical erythema. Laparoscopic surgery found a relatively long MD with necrotic and fluid-filled cystic end, which was attatched to abdominal wall caused by inflammation. Herein, we report an interesting and unusual case of a suppurative Meckel diverticulitis presenting as periumbilical cellulitis in a child. Because of its varied presentations, MD might always be considered as one of the differential diagonosis.
Insights
Suppurative Meckel diverticulitis, an uncommon condition in children, can present as periumbilical cellulitis. This case highlights the importance of considering Meckel diverticulum (MD) in pediatric abdominal pain diagnoses.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Anomalies
- Medical Case Reports
Background:
- Meckel diverticulum (MD) is a common congenital gastrointestinal anomaly affecting 1.2-2% of the population.
- MD typically manifests as rectal bleeding, obstruction, or inflammation.
- Suppurative Meckel diverticulitis is a rare presentation, particularly in children.
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