About A Clinical Case: Meckel’s Diverticulum In A Pediatric Patient San Francisco Xavier University Hospital, Sucre -Bolivia 2025

Abstract

CLINICAL CASE PRESENTATION: A
9-year-old boy presented with abdominal
pain, fever, and bloody stools associated
with severe anemia (Hb 7.1 g/dL). Imaging
studies (CT) revealed a complicated Meckel’s
diverticulum, confirmed during laparoscopic
surgery. Treatment included resection of
the diverticulum, blood product transfusion,
and antibiotic management, with favorable
outcomes.
THEORETICAL DISCUSSION:
• Epidemiology: Congenital malformation
in 2-3% of the population, more common
in males.
• Complications: Hemorrhage (30-
56%), intestinal obstruction (14-42%),
diverticulitis (6-14%).
• Diagnosis: Technetium-99m scintigraphy
(gold standard for bleeding), CT in
obstruction, laparoscopy in acute
abdomen.
• Treatment: Surgical resection (preferably
laparoscopic) in symptomatic cases;
Controversial conservative management
in asymptomatic patients.
CONCLUSION: DM is an underestimated
but potentially serious condition in pediatrics.
Its diagnosis requires a high level of
suspicion and the use of advanced imaging.
Early surgical treatment—especially for
hemorrhagic complications—is curative and
reduces morbidity. This case highlights the
importance of a comprehensive approach
(clinical, ima