Meckel's diverticulum masked by intermittent recurrent subocclusive episodes

Jun 24, 2009

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. Daniela Codrich et al presents a case of Meckel's diverticulum masked by a long period of intermittent recurrent subocclusive episodes. Their foundings will be published on June 14, 2009 in the World Journal of Gastroenterology.

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.

More information: 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 www.wjgnet.com/1007-9327/15/2809.asp

Source: (news : web)

Explore further: NY and NJ say they will require Ebola quarantines

add to favorites email to friend print save as pdf

Related Stories

A new screening test for chronic abdominal pain

Dec 29, 2008

Evaluation of chronic abdominal pain of luminal etiology is a challenging problem for the primary care physicians and gastroenterologists. The exact localization of lesion to either small or large bowel remains an elusive ...

What is the clinical character of Fitz-Hugh-Curtis syndrome?

Dec 23, 2008

Fitz-Hugh-Curtis syndrome is characterized by inflammation in perihepatic capsules with concomitant pelvic inflammation. The pain in the right upper abdomen appeared as the main symptom. These cases have to be cautiously ...

Recommended for you

NY and NJ say they will require Ebola quarantines

11 hours ago

The governors of New Jersey and New York on Friday ordered a mandatory, 21-day quarantine for all doctors and other arriving travelers who have had contact with Ebola victims in West Africa.

WHO: Mali case may have infected many people

15 hours ago

The World Health Organization says a toddler who brought Ebola to Mali was bleeding from her nose during her journey on public transport and may have infected many people.

Two US nurses are declared cured of Ebola

16 hours ago

Two American nurses were declared cured of Ebola on Friday, and one was healthy enough to leave the hospital and meet President Barack Obama for a hug.

User comments : 0