臨床小児科: オープンアクセス
オープンアクセス

概要

Neonatal Meckel´s Diverticulum Presenting as Lower Gastrointestinal Bleeding

Laura Beth Martin, Francisco Javier Garcia Diaz, Mercedes Garcia Vallecillo, Pilar Rojas Perez

Despite Meckel´s Diverticulum (MD) being the most common congenital anomaly of the gastrointestinal tract, symptomatic presentation in neonates is rare. In new-borns, bowel obstruction and perforation have been described as the most frequent clinical manifestation of MD. We describe a case of neonatal Meckel´s Diverticulum presenting as lower gastrointestinal bleeding and a review of the literature. We have found only one other case of rectal bleeding caused by a MD in a neonate reported so far. The diagnosis of intussusception in the neonatal period requires a high index of suspicion and does not have any specific radiological findings or signs, in contrast to older children. Misdiagnosis leads to delay in treatment, which leads to intestinal perforation and necrosis.