Department of Pediatrics, Federico II University of Naples, Via Pansini 5, 80131, Naples, Italy.
Eur J Pediatr. 2012 Apr;171(4):733-4. doi: 10.1007/s00431-011-1652-x. Epub 2011 Dec 23.
Meckel's diverticulum has varied presentations in children and often becomes a diagnostic challenge. The authors present a 10-year-old boy with abdominal pain and one episode of melena. His symptoms were undervalued during two previous hospitalizations in pediatric units until his hemoglobin level dropped from 8.2 to 3.5 g/dL. The laparoscopic intervention performed in emergency identified a bleeding Meckel's diverticulum that was resected after being exteriorized from the umbilicus. Our observation shows that severe hemorrhage due to a Meckel's diverticulum is possible albeit exceptional.
梅克尔憩室在儿童中表现多样，常常成为诊断难题。作者报告了一例 10 岁男孩，腹痛，一次黑便。他的症状在两次儿科住院期间被低估了，直到他的血红蛋白水平从 8.2 降至 3.5 g/dL。紧急腹腔镜干预发现了一个正在从脐部外渗的出血性梅克尔憩室，并进行了切除。我们的观察表明，尽管罕见，但梅克尔憩室可能导致严重出血。
