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TL;DR
This is a case report of a 2-year-old boy who presented with worsening abdominal pain and acute anemia without visible bleeding. Imaging and surgery revealed a Meckel's diverticulum filled with blood, which was resected successfully.
JPGN Reports · 3 authors, 2 centres
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This is a case report of a 2-year-old boy who presented with worsening abdominal pain and acute anemia without visible bleeding. Imaging and surgery revealed a Meckel's diverticulum filled with blood, which was resected successfully.
This case report describes a 2-year-old male with chronic abdominal pain who developed acute, worsening pain and severe anemia without visible gastrointestinal bleeding (no hematemesis, melena, or hematochezia). Laboratory tests showed a falling hemoglobin from 9.3 g/dL to 7.1 g/dL over 24 hours. Surgical exploration found a blood-filled Meckel's diverticulum with heterotopic gastric mucosa arising from the ileum, which was resected. This atypical presentation involves bleeding contained within the diverticulum itself, rather than into the intestinal lumen. The case underscores the need to consider Meckel's diverticulum in the differential diagnosis for acute anemia without overt bleeding, as this rare presentation requires surgical intervention.