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Related Experiment Videos

Inverted Meckel's diverticulum: an entity simulating an ileal polyp

G K James1, K W Berean, A G Nagy

  • 1Department of Pathology, Vancouver Hospital and Health Sciences Centre, University of British Columbia, Canada.

The American Journal of Gastroenterology
|September 11, 1998
PubMed
Summary
This summary is machine-generated.

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An inverted Meckel's diverticulum presented as an ileal polyp, causing chronic iron deficiency anemia. This rare presentation in an older adult was clinically unexpected, differing from typical childhood intussusception cases.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Clinical Case Reports

Background:

  • Meckel's diverticulum is a congenital anomaly of the small intestine.
  • Prolapsed Meckel's diverticula typically present acutely in childhood as intussusception, often causing bowel obstruction.
  • Chronic, unexplained iron deficiency anemia can be a rare presenting symptom of gastrointestinal pathology.

Observation:

  • A case of inverted Meckel's diverticulum is described.
  • The diverticulum presented as an ileal polyp.
  • The patient suffered from chronic unexplained iron deficiency anemia.

Findings:

  • The inverted Meckel's diverticulum mimicked an ileal polyp on clinical examination.
  • This unusual presentation occurred in an older adult, unlike the typical pediatric demographic for prolapsed Meckel's diverticula.

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  • The diagnosis was clinically unexpected due to the atypical presentation.

    • Implications:

    • This case highlights the importance of considering rare gastrointestinal pathologies in the differential diagnosis of unexplained iron deficiency anemia.
    • It underscores the variability in Meckel's diverticulum presentation, even in adulthood.
    • The findings suggest that inverted Meckel's diverticulum, though rare, should be considered in adults with symptoms suggestive of intraluminal masses or chronic bleeding.