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Meckel's diverticulum as a cause of gastrointestinal bleeding in an adolescent patient
Abstract:
Meckel's diverticulum (MD) is one of the most common malformations of the gastrointestinal tract. Most cases are asymptomatic; clinical symptoms occur only in about 4% of patients, presenting as gastrointestinal bleeding, intestinal obstruction, inflammation, or perforation. Bleeding is most frequently observed in children under 2 years of age. Older patients tend to experience inflammatory complications. Here, we present the case report of a 17-year-old male patient with life-threatening acute gastrointestinal bleeding due to MD. Based on this case report, we performed a retrospective study of a small group of patients admitted to the Department of Pediatric Surgery and Traumatology, Third Faculty of Medicine, Charles University and Thomayer University Hospital in Prague (KDCHT FTN) between January 2012 and March 2023 with the primary or secondary diagnosis of MD.
Insights
Meckel's diverticulum (MD) can cause severe gastrointestinal bleeding, even in older children and adolescents. This study reviews cases of MD, highlighting the critical need for prompt diagnosis and management of this common congenital anomaly.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Malformations
Background:
- Meckel's diverticulum (MD) is a frequent congenital anomaly of the gastrointestinal tract.
- While often asymptomatic, MD can manifest with complications such as bleeding, obstruction, or inflammation.
- Gastrointestinal bleeding is more common in younger children, whereas inflammatory issues arise more frequently in older patients.
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