Pediatric Gastroenterology, Hepatology & Nutrition

  • 제18권1호
  • /
  • Pages.66-70
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  • 2015
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  • 2234-8646(pISSN)
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  • 2234-8840(eISSN)
대한소아소화기영양학회 (The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition)
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Suppurative Meckel Diiverticulum in a 3-Year-Old Girl Presenting with Periumbilical Cellulitis

  • Park, Ji Sook (Department of Pediatrics, Institute of Health Science, Gyeongsang National University Hospital) ;
  • Lim, Chun Woo (Department of Pediatrics, Institute of Health Science, Gyeongsang National University Hospital) ;
  • Park, Taejin (Department of Surgery, Gyeongsang National University School of Medicine) ;
  • Cho, Jae-Min (Department of Radiology, Gyeongsang National University School of Medicine) ;
  • Seo, Ji-Hyun (Department of Pediatrics, Institute of Health Science, Gyeongsang National University Hospital) ;
  • Youn, Hee-Shang (Department of Pediatrics, Institute of Health Science, Gyeongsang National University Hospital)
  • 투고 : 2014.09.12
  • 심사 : 2014.10.09
  • 발행 : 2015.03.30
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초록

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.

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참고문헌

  1. Turck D, Michaud L. Lower gastrointestinal bleeding. In: Walker WA, ed. Pediatric gastrointestinal disease: pathophysiology, diagnosis, management. 4th ed. Hamilton, ON: BC Decker Inc., 2004:273-4.
  2. Lee YA, Seo JH, Youn HS, Lee GH, Kim JY, Choi GH, et al. Clinical features of symptomatic meckel's diverticulum. Korean J Pediatr Gastroenterol Nutr 2006;9:193-9.
  3. Huang CC, Lai MW, Hwang FM, Yeh YC, Chen SY, Kong MS, et al. Diverse presentations in pediatric Meckel's diverticulum: a review of 100 cases. Pediatr Neonatol 2014;55:369-75. https://doi.org/10.1016/j.pedneo.2013.12.005
  4. Park JJ, Wolff BG, Tollefson MK, Walsh EE, Larson DR. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg 2005;241: 529-33. https://doi.org/10.1097/01.sla.0000154270.14308.5f
  5. Menezes M, Tareen F, Saeed A, Khan N, Puri P. Symptomatic Meckel's diverticulum in children: a 16-year review. Pediatr Surg Int 2008;24:575-7. https://doi.org/10.1007/s00383-007-2094-4
  6. Tseng YY, Yang YJ. Clinical and diagnostic relevance of Meckel's diverticulum in children. Eur J Pediatr 2009;168:1519-23. https://doi.org/10.1007/s00431-009-1023-z
  7. Durakbasa CU, Okur H, Mutus HM, Bas A, Ozen MA, Sehiralti V, et al. Symptomatic omphalomesenteric duct remnants in children. Pediatr Int 2010;52:480-4.
  8. Chen JJ, Lee HC, Yeung CY, Chan WT, Jiang CB, Sheu JC, et al. Meckel's diverticulum: factors associated with clinical manifestations. ISRN Gastroenterol 2014; 2014:390869.
  9. Rho JH, Kim JS, Kim SY, Kim SK, Choi YM, Kim SM, et al. Clinical features of symptomatic Meckel's diverticulum in children: comparison of scintigraphic and non-scintigraphic diagnosis. Pediatr Gastroenterol Hepatol Nutr 2013;16:41-8. https://doi.org/10.5223/pghn.2013.16.1.41
  10. Kahn E, Daum F. Anatomy, histology, embryology, and developmental anomalies of the small and large intestine. In: Sleisenger MH, Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's gastrointestinal and liver disease: pathophysiology, diagnosis, management. 9th ed. Philadelphia: Saunders Elsevier, 2010:1615-42.
  11. Spasojevic M, Naesgaard JM, Ignjatovic D. Perforated midgut diverticulitis: revisited. World J Gastroenterol 2012;18:4714-20. https://doi.org/10.3748/wjg.v18.i34.4714
  12. Spiliopoulos D, Awala AO, Peitsidis P, Foutouloglou A. Simultaneous Meckel's diverticulitis and appendicitis: a rare complication in puerperium. G Chir 2013;34:64-9.
  13. Wasike R, Saidi H. Perforated Meckel's diverticulitis presenting as a mesenteric abscess: case report. East Afr Med J 2006;83:580-4.
  14. Grasso E, Politi A, Progno V, Guastella T. Spontaneous perforation of Meckel's diverticulum: case report and review of literature. Ann Ital Chir 2013;84. pii: S2239253X13020902.
  15. DiGiacomo JC, Cottone FJ. Surgical treatment of Meckel's diverticulum. South Med J 1993;86:671-5. https://doi.org/10.1097/00007611-199306000-00017