Al-Onaizi Iman, Al-Awadi Fatma, Al-Dawood Abdul-Latif
Department of Paediatrics, Al-Sabah Hospital, Kuwait.
Med Princ Pract. 2002 Oct-Dec;11(4):214-7. doi: 10.1159/000065810.
To describe a case of Meckel's diverticulum with an unusual complication of iron deficiency anaemia due to chronic intestinal bleeding.
A 12-year-old boy presented with bloody diarrhoea and abdominal pain in association with a long-standing history of black stools and progressive pallor. Biochemical tests revealed low serum iron (1.2 mmol/l) indicating iron deficiency anaemia and low serum albumin (29 g/l). The other tests were normal. Colonoscopy performed on the 8th day of hospitalization was normal. A technetium-99m pertechnetate scan showed an ectopic gastric mucosa in the Meckel's diverticulum confirmed at surgery in the region of the antimesentric border and on histopathology.
Findings indicated that the patient had a bleeding Meckel's diverticulum, complicated by iron deficiency anaemia.
描述一例梅克尔憩室合并因慢性肠道出血导致缺铁性贫血这一罕见并发症的病例。
一名12岁男孩出现便血和腹痛，伴有长期黑便史和进行性面色苍白。生化检查显示血清铁水平低（1.2毫摩尔/升），提示缺铁性贫血，血清白蛋白水平低（29克/升）。其他检查均正常。住院第8天进行的结肠镜检查正常。锝-99m高锝酸盐扫描显示梅克尔憩室内有异位胃黏膜，手术时在系膜对侧缘区域证实有该情况，组织病理学检查也予以证实。
检查结果表明该患者患有出血性梅克尔憩室，并伴有缺铁性贫血。
