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Meckel's Diverticulum Masked By Intermittent Recurrent Subocclusive Episodes

Date:
June 23, 2009
Source:
World Journal of Gastroenterology
Summary:
Meckel's diverticulum (MD) is the most frequent congenital abnormality of the small bowel and it is often difficult to diagnose. It is usually asymptomatic but approximately 4% are symptomatic with complications such as bleeding, intestinal obstruction, and inflammation.

Meckel's diverticulum (MD) is the most frequent congenital abnormality of the small bowel and it is often difficult to diagnose. It is usually asymptomatic but approximately 4% are symptomatic with complications such as bleeding, intestinal obstruction, and inflammation.

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Daniela Codrich et al presents a case of Meckel's diverticulum masked by a long period of intermittent recurrent subocclusive episodes. 

In this case, a 7-year-old boy presented with repeated episodes of periumbilical pain with associated vomiting which resolved spontaneously in a few hours. The frequency of the episodes increased from one per month to weekly and then daily vomiting, but painless hemorrhage, the classical presenting symptom of Meckel's diverticulum, was never experienced. These symptoms were firstly interpreted as cyclic vomiting of childhood. Only the persistence of the condition accompanied by weight loss prompted physicians to investigate further. A supravesical mass was found with ultrasound and confirmed by magnetic resonance. However, the final diagnosis was only made at laparoscopy.

This article seeks to emphasize that preoperative diagnosis of a complicated Meckel's diverticulum can be challenging and often difficult to establish because clinical symptoms and imaging features overlap with those of other disorders causing acute abdominal pain or gastrointestinal bleeding (in cases where hemorrhage is present). The case also underlines the utmost importance of laparoscopy as a diagnostic and, at the same time, a therapeutic tool in the pediatric population.


Story Source:

The above story is based on materials provided by World Journal of Gastroenterology. Note: Materials may be edited for content and length.


Journal Reference:

  1. Codrich D, Taddio A, Schleef J, Ventura A, Marchetti F. Meckel's diverticulum masked by a long period of intermittent recurrent subocclusive episodes. World J Gastroenterol, 2009; 15(22): 2809-2811 [link]

Cite This Page:

World Journal of Gastroenterology. "Meckel's Diverticulum Masked By Intermittent Recurrent Subocclusive Episodes." ScienceDaily. ScienceDaily, 23 June 2009. <www.sciencedaily.com/releases/2009/06/090623112002.htm>.
World Journal of Gastroenterology. (2009, June 23). Meckel's Diverticulum Masked By Intermittent Recurrent Subocclusive Episodes. ScienceDaily. Retrieved November 28, 2014 from www.sciencedaily.com/releases/2009/06/090623112002.htm
World Journal of Gastroenterology. "Meckel's Diverticulum Masked By Intermittent Recurrent Subocclusive Episodes." ScienceDaily. www.sciencedaily.com/releases/2009/06/090623112002.htm (accessed November 28, 2014).

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