Meckel’s Diverticulum Presents with Massive Hematemesis in a School-aged Child

Introduction

Meckel’s diverticulum (MD), a remnant of the vitello-intestinal duct, is the most common congenital anomaly of the gastrointestinal tract (Campbell BT, Brewer J. In: Wyllie R et al(Eds.). Pediatric Gastrointestinal and Liver Disease. 6th ed. Elsevier, 2021:559). While typically asymptomatic, MD can cause gastrointestinal (GI) hemorrhage or acute abdominal discomfort , and has also been reported to lead to intussusception or intestinal obstruction (Sagar J et al., J R Soc Med. 2006; 99: 501–505). In a large case series of 233 pediatric patients with symptomatic MD, none presented with hematemesis(Chen Q et al., J Pediatr Surg. 2018; 53: 676–681). A review of previously reported pediatric cases indicates that rare documented instances of Meckel’s diverticulum presenting with hematemesis exist, underscoring the exceptional rarity of this presentation (Mehrabani S et al., Pediatr Rep. 2017; 9: 6973; Guzmán-Martínez S et al., Cir Cir. 2018; 86: 450–454). We report a case of MD with massive hematemesis, distinguished from prior reports by the absence of comorbidities, thereby expanding the limited body of literature.

Publikationsverlauf

Artikel online veröffentlicht:
21. November 2025