A Pediatric Case of Meckel’s Diverticulum Diagnosed Preoperatively by Contrast-enhanced Computed Tomography

Abstract

A 3-year-old boy was referred to our hospital with a history of persistent bloody stools and progressive anemia. Neither upper gastrointestinal endoscopy nor total colonoscopy revealed the site of bleeding, therefore, we suspected that the bleeding was from the small intestine. Contrast-enhanced computed tomography (CT) revealed diverticulosis of the ileum with bleeding in the right upper abdomen. We diagnosed Meckel’s diverticulum and performed emergency partial resection of the ileum. Histopathological examination revealed Meckel’s diverticulitis with ectopic gastric mucosa and ulcer. Although it is difficult to diagnose Meckel’s diverticulum preoperatively，contrast-enhanced CT may be useful for the diagnosis in cases of Meckel’s diverticulum with bleeding.