A 6½-month-old male infant had an acute onset of fever, vomiting, and constipation. There were no pertinent events in the infant's medical history.
Physical examination showed a lethargic infant in no apparent distress. The rectal temperature was 39 °C, the pulse rate was 192 beats per minute, respirations were 64/min, and the BP was 100/56 mm Hg. The abdomen was mildly distended with diffuse guarding and tenderness to palpation. A firm mass in the right upper quadrant extended to the lower quadrant. The bowel sounds were hyperactive. Leukocytosis was the only abnormal laboratory finding. Abdominal roentgenograms were obtained (Figs 1 to 3).
Denouement and Discussion
Meckel's diverticulum is a persistent remnant of the omphalomesenteric vitelline duct.1 As a mnemonic, the numeral "two" can be associated with several pertinent aspects of Meckel's diverticulum: the estimated incidence is 2%,1 most complications occur
Wand A, Young LW. Radiological Case of the Month. Am J Dis Child. 1983;137(3):223–224. doi:https://doi.org/10.1001/archpedi.1983.02140290015004
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