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An Unusual Case of a Perforated Meckel's Diverticulum
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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147520/ https://www.ncbi.nlm.nih.gov/pubmed/37122498 http://dx.doi.org/10.1155/2023/2289520 |
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author | Mendoza Alvarez, Lybil Rajderkar, Dhanashree Beasley, Genie L. |
author_facet | Mendoza Alvarez, Lybil Rajderkar, Dhanashree Beasley, Genie L. |
author_sort | Mendoza Alvarez, Lybil |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10147520 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-101475202023-04-29 An Unusual Case of a Perforated Meckel's Diverticulum Mendoza Alvarez, Lybil Rajderkar, Dhanashree Beasley, Genie L. Case Rep Pediatr Case Report 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. Hindawi 2023-04-21 /pmc/articles/PMC10147520/ /pubmed/37122498 http://dx.doi.org/10.1155/2023/2289520 Text en Copyright © 2023 Lybil Mendoza Alvarez et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Mendoza Alvarez, Lybil Rajderkar, Dhanashree Beasley, Genie L. An Unusual Case of a Perforated Meckel's Diverticulum |
title | An Unusual Case of a Perforated Meckel's Diverticulum |
title_full | An Unusual Case of a Perforated Meckel's Diverticulum |
title_fullStr | An Unusual Case of a Perforated Meckel's Diverticulum |
title_full_unstemmed | An Unusual Case of a Perforated Meckel's Diverticulum |
title_short | An Unusual Case of a Perforated Meckel's Diverticulum |
title_sort | unusual case of a perforated meckel's diverticulum |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147520/ https://www.ncbi.nlm.nih.gov/pubmed/37122498 http://dx.doi.org/10.1155/2023/2289520 |
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