Meckel’s diverticulum causing severe hemorrhage

Meckel’s diverticulum has varied presentations in children and often becomes a diagnostic challenge. The authors present a 10-year-old boy with abdominal pain and one episode of melena. His symptoms were undervalued during two previous hospitalizations in pediatric units until his hemoglobin level d...

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Bibliographic Details
Published in:European journal of pediatrics 2012-04, Vol.171 (4), p.733-734
Main Authors: Esposito, C., Giurin, I., Savanelli, A., Iaquinto, M., Ascione, G., Settimi, A.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Case Report
Case reports
Child
Endoscopy
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Hemoglobin
Hemorrhage
Humans
Laparoscopy
Male
Malformations
Meckel Diverticulum - complications
Meckel Diverticulum - diagnosis
Meckel Diverticulum - surgery
Medical sciences
Medicine
Medicine & Public Health
Melena - etiology
Melena - surgery
Pediatrics
Scintigraphy
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Ulcers
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Summary:Meckel’s diverticulum has varied presentations in children and often becomes a diagnostic challenge. The authors present a 10-year-old boy with abdominal pain and one episode of melena. His symptoms were undervalued during two previous hospitalizations in pediatric units until his hemoglobin level dropped from 8.2 to 3.5 g/dL. The laparoscopic intervention performed in emergency identified a bleeding Meckel’s diverticulum that was resected after being exteriorized from the umbilicus. Our observation shows that severe hemorrhage due to a Meckel’s diverticulum is possible albeit exceptional.
ISSN:0340-6199
1432-1076
DOI:10.1007/s00431-011-1652-x