An Unusual Case of a Perforated Meckel's Diverticulum.

Autor: Mendoza Alvarez L; University of Tennessee Health Science Center Pediatric Gastroenterology, Memphis, TN, USA., Rajderkar D; University of Florida Pediatric Radiology, Gainesville, FL, USA., Beasley GL; University of Florida Pediatric Gastroenterology, Gainesville, FL, USA.
Jazyk: angličtina
Zdroj: Case reports in pediatrics [Case Rep Pediatr] 2023 Apr 21; Vol. 2023, pp. 2289520. Date of Electronic Publication: 2023 Apr 21 (Print Publication: 2023).
DOI: 10.1155/2023/2289520
Abstrakt: Background: Meckel's diverticulum, the most common congenital anomaly of the gastrointestinal tract, typically presents in children with gastrointestinal bleeding. Case Presentation . An 11-year-old Caucasian male presented with a 6 week history of abdominal pain, vomiting, and diarrhea. He was found to have iron deficiency anemia, markedly elevated serum and fecal inflammatory markers, and imaging showing a contained bowel perforation. He was evaluated for infectious etiologies and later underwent extensive testing for inflammatory bowel disease. Ultimately, he was found to have a Meckel's diverticulum, which was successfully resected and led to resolution of his gastrointestinal complaints.
Conclusions: This case report highlights one of the more rare presentations in children, which is intestinal perforation. Symptoms of a Meckel's diverticulum can overlap with those of inflammatory bowel disease, as demonstrated by our patient. Clinicians should be familiar with criteria to establish diagnosis of inflammatory bowel disease, and if diagnosis isn't fully supported by testing, they should expand the differential and consider Meckel's diverticulum.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2023 Lybil Mendoza Alvarez et al.)
Databáze: MEDLINE
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