AUTHOR=Gunadi  , Damayanti Wahyu , Saputra Robin Perdana , Ramadhita  , Ibrohim Ibnu Sina , Lestiono Andi , Melati Devy , Permatahati Winda Intan , Widowati Titis , Makhmudi Akhmad 

TITLE=Case Report: Complicated Meckel Diverticulum Spectrum in Children

JOURNAL=Frontiers in Surgery

VOLUME=8

YEAR=2021

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2021.674382

DOI=10.3389/fsurg.2021.674382

ISSN=2296-875X

ABSTRACT=<p><bold>Background:</bold> Meckel diverticulum (MD) is the most common congenital anomaly of the intestines, with an incidence of 2% of the general population. It can present as various clinical features with complications and be life threatening if diagnosis is delayed and treatment late.</p><p><bold>Case Presentation:</bold> We report three pediatric cases with complicated MD: one female presented with small-bowel obstruction, one male with peritonitis, and one female with severe iron-deficiency anemia, without gross gastrointestinal bleeding nor any ectopic gastric mucosa. All patients underwent exploratory laparotomy, segmental small-bowel resection, and primary anastomosis. They successfully recovered and were uneventfully discharged on the fourth, seventh, and 10th postoperative days, respectively.</p><p><bold>Conclusions:</bold> MD can present with various complication spectrums, including small-bowel obstruction, peritonitis, and severe iron-deficiency anemia, which may cause difficulty in definitive diagnosis, particularly in children. Segmental small-bowel resection and primary anastomosis are effective surgical approaches and show good outcomes for MD patients.</p>