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Erosive Meckel's diverticulum causing concurrent intraluminal and intraperitoneal hemorrhage: first case report in

Mohammed Elifranji1, Muhammed E A Ahmed2, Sheena Heffernan3

  • 1Department of Paediatric Surgery, Children's Health Ireland, Dublin, Ireland. mifranji@live.com.

Clinical Journal of Gastroenterology
|April 8, 2025
PubMed
Abstract

Insights

This case report details a rare instance of simultaneous gastrointestinal and intraperitoneal bleeding in an infant due to a perforated Meckel

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Meckel's diverticulum (MD) is a common congenital anomaly, often asymptomatic.
  • Complications like gastrointestinal bleeding and obstruction can occur, especially in young children.
  • Intraperitoneal bleeding from MD is exceptionally rare in infants.

Purpose of the Study:

  • To report a unique case of concurrent gastrointestinal and intraperitoneal bleeding in an infant caused by Meckel's diverticulum.
  • To highlight the diagnostic and management challenges of this rare presentation.
  • To contribute to the limited pediatric literature on MD-associated intraperitoneal bleeding.

Main Methods:

  • Case report of a 9-month-old male infant presenting with acute rectal bleeding and hemodynamic instability.
  • Diagnostic workup included imaging to identify the source of bleeding.
  • Surgical intervention involved laparoscopic exploration, resection of the perforated MD, and anastomosis.

Main Results:

  • The infant experienced severe anemia and hemodynamic compromise requiring resuscitation and blood transfusion.
  • Laparoscopic findings confirmed a perforated Meckel's diverticulum with erosion into a mesenteric vessel, causing intra-abdominal bleeding.
  • Histological examination revealed ectopic gastric mucosa within the perforated diverticulum.

Conclusions:

  • This is the first reported case of simultaneous gastrointestinal and intraperitoneal bleeding from Meckel's diverticulum in an infant.
  • The case emphasizes the need to consider Meckel's diverticulum in infants with unexplained GI bleeding, even with signs of intraperitoneal hemorrhage.
  • Prompt surgical intervention is crucial for favorable outcomes in pediatric patients with complicated Meckel's diverticulum.
Keywords:
Gastrointestinal bleedingIntraperitoneal bleedingMeckel’s diverticulum (MD)Surgical management

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