[Meckel's diverticulitis by ascaris in children: about a case]

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Parasitology

Background:

• Congenital umbilical abnormalities can present with bleeding, necessitating thorough investigation.
• Meckel´s diverticulum is a common congenital anomaly, but its association with umbilical issues and parasitic infection is rare.

Observation:

• A 4-year-old boy presented with a bleeding congenital umbilical bud.
• Initial ultrasound suggested a urachal sinus, but surgery revealed an inflamed Meckel´s diverticulum communicating with the umbilical bud.
• The diverticulum contained multiple Ascaris parasites.

Findings:

• The case demonstrated Meckel´s diverticulitis secondary to Ascaris infection, presenting as an umbilical abnormality.
• Surgical resection of the affected Meckel´s diverticulum and umbilical bud excision were successfully performed.

Implications:

• This case highlights the importance of considering rare parasitic causes of Meckel´s diverticulitis presenting with umbilical bleeding.
• Early diagnosis and surgical intervention are crucial for favorable outcomes in such pediatric surgical emergencies.