{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:18:20Z","timestamp":1787836700503,"version":"build-2784847793"},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T00:00:00Z","timestamp":1729382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This single\u2010center, cross\u2010sectional study aims to elucidate the clinical presentation, diagnostic evaluation, and outcomes in a subset of pediatric patients with atypical and\/or challenging presentations of Meckel's diverticulum.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a single\u2010center cross\u2010sectional study on children diagnosed with Meckel's diverticulum at Children's Health in Dallas, Texas between 2010 and 2022. We identified 11 patients aged 0\u201317\u2010years\u2010old with confirmed Meckel's diverticulum who presented with atypical symptoms and\/or a challenging diagnostic course. Patient demographics, symptoms at presentation, diagnostic workup, time to diagnosis, management, and outcomes were collected. Descriptive statistics were utilized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eleven patients (<jats:italic>n<\/jats:italic>\u2009=\u20098, 73% male) were included in the study with an average age of 10.5 years (range: 1\u201317 years). The mean time interval from initial presentation of symptoms to diagnosis was 8 months (range: 0\u201333 months). Barriers to diagnosis of Meckel's diverticulum identified in our study included atypical presentations, negative or nonconfirmatory Meckel scan results, negative surgical findings, and competing differential diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Meckel's diverticulum is a challenging diagnosis and should be considered even if initial evaluation is negative as certain patients exhibit atypical presentations that necessitate surgical intervention for diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpr3.12140","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T06:50:55Z","timestamp":1729493455000},"page":"423-432","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Meckel's diverticulum: A challenging diagnosis"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2426-760X","authenticated-orcid":false,"given":"Kathryn","family":"Kaihlanen","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Phen","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition University of Texas Southwestern Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Sengupta","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Diesen","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil J.","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Texas Southwestern Medical Center Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Rojas","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, Hepatology and Nutrition University of Texas Southwestern Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/014107680609901011"},{"issue":"11","key":"e_1_2_7_3_1","first-page":"726","article-title":"Meckel's diverticulum: clinical features, diagnosis and management","volume":"110","author":"Kuru S","year":"2018","journal-title":"Rev Esp Enferm 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complication","volume":"67","author":"Aamery A","year":"2017","journal-title":"J Pak Med Assoc"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2022.110611"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-022-05527-z"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/RLU.0b013e31818f453c"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/RLU.0b013e31821c9ae9"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semnuclmed.2012.10.001"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.2967\/jnmt.123.265558"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.2967\/jnmt.113.136242"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-015-3340-x"}],"container-title":["JPGN 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