Acute Painless Lower Gastrointestinal Bleed That Mimics Meckel Diverticulum.
OBJECTIVE
We describe a case of gastrointestinal duplication cyst with heterotopic gastric mucosa presenting with hematochezia.


METHODS
The patient was a previously healthy 2-month-old girl presenting with passing fresh blood in the diaper without distress or abdominal discomfort. She was evaluated for colic prior to this episode and discharged home. Meckel scan was positive, and surgeons performed an exploratory laparotomy to identify a jejunal duplication cyst. The infant had an uneventful recovery and was discharged home.


CONCLUSIONS
Gastrointestinal duplication cyst is an uncommon condition and can rarely present with lower gastrointestinal bleed with heterotopic gastric mucosa.
From the Divisions of Community and General Pediatrics.
Anand
A
Gourishankar
Pediatric Surgery, Department of Pediatrics, University of Texas Health Science Center at Houston/McGovern Medical School, Houston, TX.
KuoJen
K
Tsao
D003937:Diagnosis, Differential; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D007223:Infant; D008467:Meckel Diverticulum / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods