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Codrich D, Taddio A, Schleef J, Ventura A, Marchetti F.Meckel's diverticulum masked by a long period of intermittent recurrent subocclusive episodes. World J Gastroenterol 2009 June;15(22):2809-2811
Meckel's diverticulum masked by a long period of intermittent recurrent subocclusive episodes
Codrich D, Taddio A, Schleef J, Ventura A, Marchetti F.
Department of Pediatric Surgery, Institute of Child Health, IRCCS Burlo Garofolo, Trieste. Via dell'Istria 65/1, 34137 Trieste, Italy. codrich@yahoo.com
Meckel's diverticulum (MD) is the most frequent congenital abnormality of the small bowel and it is often difficult to diagnose. It is usually asymptomatic but approximately 4% are symptomatic with complications such as bleeding, intestinal obstruction, and inflammation. The authors report a case of a 7-year-old boy with a one-year history of recurrent periumbilical colicky pain with associated alimentary vomiting, symptoms erroneously related to a cyclic vomiting syndrome but not to MD. The clinical features and the differential diagnostic methods employed for diagnosis of MD are discussed. |
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