{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:47:28Z","timestamp":1696063648469},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Lower gastrointestinal bleeding in infants and children is a symptom with a broad differential diagnosis. The diagnosis depends on the quantity and quality of the bleeding and on the patient's age. We describe a case of a 10-month-old infant who presented to our pediatric emergency department 4 times with lower gastrointestinal bleeding before a diagnosis of Meckel diverticulum was made. Although this pathology was strongly suspected at an earlier visit, the initial Meckel scan result was interpreted as normal, and the result of a stool test for <jats:italic toggle=\"yes\">Clostridium difficile<\/jats:italic> was positive. The case illustrates that repeat scintigraphy might be necessary when significant bleeding is present even if the results of other tests for diagnosis are positive.<\/jats:p>","DOI":"10.1097\/pec.0000000000001880","type":"journal-article","created":{"date-parts":[[2019,6,10]],"date-time":"2019-06-10T04:31:13Z","timestamp":1560141073000},"page":"e128-e130","source":"Crossref","is-referenced-by-count":0,"title":["Lower Gastrointestinal Bleeds"],"prefix":"10.1097","volume":"35","author":[{"given":"Cena","family":"Tejani","sequence":"first","affiliation":[{"name":"Emergency Medicine and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tej","family":"Phatak","sequence":"additional","affiliation":[{"name":"Radiology, Newark Beth Israel Medical Center, Newark, NJ."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2019,6,7]]},"reference":[{"key":"bib1-20230930","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1185\/03007995.2014.986569","article-title":"Emergency department visits for gastrointestinal bleeding in children: results from the Nationwide Emergency Department Sample 2006\u20132011","volume":"31","year":"2015","journal-title":"Curr Med Res Opin"},{"key":"bib2-20230930","first-page":"1","article-title":"The young child with lower gastrointestinal bleeding or intussusception","volume":"9","year":"2012","journal-title":"Pediatr Emerg Med Pract"},{"key":"bib3-20230930","first-page":"270","article-title":"Iron deficiency and other types of anemia in infants and children","volume":"93","year":"2016","journal-title":"Am Fam Physician"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.idc.2015.05.010","article-title":"Pitfalls of diagnosis of pediatric Clostridium difficile infection","volume":"29","year":"2015","journal-title":"Infect Dis Clin North Am"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1007\/s00383-013-3270-3","article-title":"Meckel's scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years","volume":"29","year":"2013","journal-title":"Pediatr Surg Int"},{"key":"bib7-20230930","first-page":"1338","article-title":"Gastrointestinal bleeding in adult patients with Meckel's diverticulum: the role of technetium 99m pertechnetate scan","volume":"95","year":"2012","journal-title":"South Med J"},{"key":"bib8-20230930","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1007\/s00247-015-3340-x","article-title":"The value of repeat scintigraphy in patients with a high clinical suspicion for Meckel diverticulum after a negative or equivocal first Meckel scan","volume":"45","year":"2015","journal-title":"Pediatr Radiol"},{"key":"bib9-20230930","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1097\/00003072-197810000-00004","article-title":"Cimetidine administration resulting in improved pertechnetate imaging of Meckel's diverticulum","volume":"3","year":"1978","journal-title":"Clin Nucl Med"},{"key":"bib10-20230930","first-page":"449","article-title":"Diagnostic accuracy of Meckel scan with initial hemoglobin level to detect symptomatic Meckel diverticulum","volume":"25","year":"2015","journal-title":"Eur J Pediatr Surg"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201907000-00017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:17:04Z","timestamp":1696061824000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201907000-00017"}},"subtitle":["False-Negative and False-Positive Tests"],"short-title":[],"issued":{"date-parts":[[2019,6,7]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001880","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2019,6,7]]}}}