{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:43:03Z","timestamp":1785422583293,"version":"3.56.0"},"reference-count":9,"publisher":"Department of Medicine, Warren Alpert Medical School at Brown University","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Meckel\u2019s diverticulum is a congenital anomaly that can lead to complications such as gastrointestinal bleeding, intussusception, and perforation. We present a case of a healthy 2-year-old boy who initially presented with abdominal pain, vomiting, and diarrhea, which was misdiagnosed as acute gastritis. Despite symptomatic treatment, his condition worsened with the development of intermittent abdominal pain and non-bloody diarrhea. Initial imaging, including abdominal X-ray and ultrasound, did not reveal significant findings, and the patient was discharged after rehydration. However, he returned to the hospital with worsening pain and new reddish-brown stool, prompting further evaluation. A targeted ultrasound revealed ileo-ileal intussusception, and surgical exploration confirmed a perforated Meckel\u2019s diverticulum. Histopathology confirmed acute Meckel\u2019s diverticulitis with serosal inflammation and perforation. This case underscores the rarity of complications from Meckel\u2019s diverticulum, which typically presents with painless bloody stool, but in this patient, led to both intussusception and perforation.<\/jats:p>","DOI":"10.56305\/001c.129038","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T07:48:29Z","timestamp":1743493709000},"source":"Crossref","is-referenced-by-count":2,"title":["Abdominal Pain and Vomiting in a 2-Year-Old Boy: A Case of Intussusception and Perforated Meckel\u2019s Diverticulum"],"prefix":"10.56305","volume":"4","author":[{"given":"Sara","family":"Bowman","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003rfsp33","id-type":"ROR","asserted-by":"publisher"}],"name":"Nationwide Children's Hospital","department":["Department of Pediatric Hematology-Oncology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Wysong","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003rfsp33","id-type":"ROR","asserted-by":"publisher"}],"name":"Nationwide Children's Hospital","department":["Department of Hospital Pediatrics"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Marzec","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/003rfsp33","id-type":"ROR","asserted-by":"publisher"}],"name":"Nationwide Children's Hospital","department":["Department of Hospital Pediatrics"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"35509","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"publisher","first-page":"1610","DOI":"10.1016\/j.jpedsurg.2017.03.047","article-title":"Optimizing surgical resection of the bleeding Meckel diverticulum in children","volume":"52","author":"J. R. Robinson","year":"2017","journal-title":"J Pediatr Surg"},{"issue":"319","key":"ref2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.11604\/pamj.2015.20.319.5980","article-title":"Spontaneous perforation of Meckel's diverticulum: a case report and review of literature","volume":"20","author":"R. H. Farah","year":"2015","journal-title":"Pan Afr Med J"},{"issue":"11","key":"ref3","doi-asserted-by":"publisher","first-page":"726","DOI":"10.17235\/reed.2018.5628\/2018","article-title":"Meckel's diverticulum: clinical features, diagnosis and management","volume":"110","author":"S. Kuru","year":"2018","journal-title":"Rev Esp Enferm Dig"},{"issue":"3","key":"ref4","doi-asserted-by":"publisher","first-page":"529","DOI":"10.1097\/01.sla.0000154270.14308.5f","article-title":"Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002)","volume":"241","author":"J. J. Park","year":"2005","journal-title":"Ann Surg"},{"issue":"5","key":"ref5","doi-asserted-by":"publisher","first-page":"836","DOI":"10.1016\/s0022-3476(98)70314-2","article-title":"Ultrasonographic and clinical predictors of intussusception","volume":"132","author":"L. Harrington","year":"1998","journal-title":"J Pediatr"},{"issue":"2","key":"ref6","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/0022-3468(94)90341-7","article-title":"Ultrasonography is accurate enough for the diagnosis of intussusception","volume":"29","author":"R. L. Shanbhogue","year":"1994","journal-title":"J Pediatr Surg"},{"issue":"36","key":"ref7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12893-017-0236-8","article-title":"Case report: preoperatively diagnosed perforated Meckel's diverticulum containing gastric and pancreatic-type mucosa","volume":"17","author":"G. A. Abizeid","year":"2017","journal-title":"BMC Surg"},{"issue":"1","key":"ref8","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1055\/s-0036-1593429","article-title":"Intestinal Intussusception: Etiology, Diagnosis, and Treatment","volume":"30","author":"P. Marsicovetere","year":"2017","journal-title":"Clin Colon Rectal Surg"},{"issue":"2","key":"ref9","doi-asserted-by":"publisher","first-page":"225","DOI":"10.1111\/1754-9485.12505","article-title":"The many faces of Meckel's diverticulum and its complications","volume":"61","author":"S. Y. Choi","year":"2017","journal-title":"J Med Imaging Radiat Oncol"}],"container-title":["Journal of Brown Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bhm.scholasticahq.com\/article\/129038-abdominal-pain-and-vomiting-in-a-2-year-old-boy-a-case-of-intussusception-and-perforated-meckel-s-diverticulum","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T12:49:13Z","timestamp":1751892553000},"score":1,"resource":{"primary":{"URL":"https:\/\/bhm.scholasticahq.com\/article\/129038-abdominal-pain-and-vomiting-in-a-2-year-old-boy-a-case-of-intussusception-and-perforated-meckel-s-diverticulum"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,1]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.56305\/001c.129038","relation":{},"ISSN":["2994-5593"],"issn-type":[{"value":"2994-5593","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,1]]}}}