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A Pediatric Case of Meckel Diverticulum with Uncommon Presentation Showing no Lower Gastrointestinal Bleeding

Sanaz Mehrabani1, Soheil Osia1

  • 1Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Iran.

Pediatric Reports
|April 25, 2017
PubMed

Insights

Meckel's diverticulum, a common congenital issue, rarely causes bowel obstruction in children. This case highlights a four-year-old boy who experienced abdominal pain and vomiting, ultimately diagnosed with obstruction from Meckel's diverticulum.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Meckel's diverticulum (MD) is the most frequent congenital anomaly of the gastrointestinal tract.
  • Painless intestinal hemorrhage is a common complication of MD in pediatric patients.
  • Bowel obstruction is an infrequent but serious complication of MD in children.

Observation:

  • A four-year-old male child presented with acute abdominal pain and hematemesis.
  • Clinical presentation suggested a gastrointestinal emergency.
  • Initial diagnostic considerations included various causes of abdominal pain and bleeding in children.

Findings:

  • Surgical exploration confirmed the presence of Meckel's diverticulum as the cause of the patient's symptoms.
  • The Meckel's diverticulum was identified as the source of the bowel obstruction.
  • The obstruction was directly attributed to the anatomical abnormality.

Implications:

  • This case underscores the importance of considering Meckel's diverticulum in the differential diagnosis of pediatric abdominal emergencies, even when symptoms are atypical.
  • Early surgical intervention is crucial for managing complications like bowel obstruction secondary to Meckel's diverticulum.
  • Highlights the need for increased awareness among clinicians regarding rare presentations of common congenital anomalies.
Keywords:
Gastrointestinal hemorrageIntestinal obstructionMeckel DiverticulumVolvolus

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