Pediatric Gastroenterology, Hepatology & Nutrition  2015;18(1):66-70

doi:10.5223/pghn.2015.18.1.66

Suppurative Meckel Diiverticulum in a 3-Year-Old Girl Presenting with Periumbilical Cellulitis.

Ji Sook PARK 1 ; Chun Woo LIM ; Taejin PARK ; Jae Min CHO ; Ji Hyun SEO ; Hee Shang YOUN

Affiliations

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Keywords

Meckel diverticulum; Suppuration; Cellulitis

Country

Republic of Korea

Language

English

Abstract

Meckel diverticulum (MD) is one of the most common congenital gastrointestinal anomalies and occurs in 1.2-2% of the general population. MD usually presents with massive painless rectal bleeding, intestinal obstruction or inflammation in children and adults. Suppurative Meckel diverticulitis is uncommon in children. An experience is described of a 3-year-old girl with suppurative inflammation in a tip of MD. She complained of acute colicky abdominal pain, vomiting and periumbilical erythema. Laparoscopic surgery found a relatively long MD with necrotic and fluid-filled cystic end, which was attatched to abdominal wall caused by inflammation. Herein, we report an interesting and unusual case of a suppurative Meckel diverticulitis presenting as periumbilical cellulitis in a child. Because of its varied presentations, MD might always be considered as one of the differential diagonosis.