[A young child with acute abdomen and iron deficiency anemia].
The case of a 20 month-old girl that was admitted to the emergency ward because of worsening of her general condition in the setting of acute non-bloody gastroenteritis is reported. The clinical examination revealed signs of severe dehydration and a prominent tender abdomen. Laboratory evaluation showed leucocytosis, elevated C-reactive protein and severe hypochromic microcytic anemia. Abdominal X-ray revealed diffuse meteorism. The child underwent laparascopic evaluation. A perforated Meckel's diverticulum was found. Perforation and anemia due to occult bleeding are unusual presentations of Meckel's diverticulum. The differential diagnosis of children presenting with an acute abdomen with special focus on Meckel's diverticulum is discussed.
Schlapbach
L
L
Medizinische Universitäts-Kinderklinik, Inselspital, Universitätsspital Bern. luregn.schlapbach@insel.ch
Liniger
B
B
Schibli
S
S
Cholewa
D
D
D000006:Abdomen, Acute / Q000209:etiology*; D018798:Anemia, Iron-Deficiency / Q000209:etiology*; D002828:Choristoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005753:Gastric Mucosa; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D045823:Ileus / Q000175:diagnosis / Q000601:surgery; D007223:Infant; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008467:Meckel Diverticulum / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation