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Published on: July 21, 2023
Meckel's diverticulum presenting as massive gastrointestinal bleeding in a 2-year-old child: A case report
Salma Alaoui Ismaili1, Zineb Moudafia1, Taha Iken1
1Department of Radiology, University Hospital Mohammed VI, Tangier, Morocco.
Insights
Massive lower gastrointestinal bleeding in children, though rare, demands quick diagnosis. Computed tomography angiography aided in identifying a Meckel
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Surgical Emergencies
Background:
- Massive lower gastrointestinal bleeding (MLGIB) in young children is a rare, life-threatening emergency.
- Rapid localization of the bleeding source is critical for effective management.
Abstract:
Massive lower gastrointestinal bleeding in young children is a rare but potentially life-threatening emergency requiring rapid localization of the bleeding source. We report the case of a 2-year-old child who presented with abrupt onset of profuse rectal bleeding, profound anemia (hemoglobin 4.6 g/dL), and hemodynamic instability. Emergency computed tomography angiography demonstrated active intraluminal contrast extravasation within the small bowel, associated with imaging signs of hypovolemic shock. No target vessel amenable to endovascular treatment was identified, and urgent surgical exploration was performed. Resection of an ileal lesion confirmed Meckel's diverticulum with ectopic gastric mucosa as the source of bleeding. This case highlights the value of CT angiography for early diagnosis and management of massive gastrointestinal bleeding in pediatric patients.
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