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February 1967, Vol 113, No. 2 >
Article | February 1967

Chronic Iron Deficiency Anemia Due to Meckel's Diverticulum FREE

Marshall Sparberg
[+] Author Affiliations

Received for publication Aug 12, 1966.

Reprint requests to 221 Baseview Dr, San Antonio, Tex 78227.


Am J Dis Child. 1967;113(2):286-287. doi:10.1001/archpedi.1967.02090170150021.
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References
Comments

MASSIVE intestinal hemorrhage is a well-known complication of Meckel's diverticulum. Chronic blood loss, not grossly identifiable in the stool, leading to iron deficiency anemia is rarely recorded. A case will be presented and the literature reviewed.

Report of a Case  A 6-year-old white girl was admitted on July 26, 1965, for evaluation of chronic anemia. In August 1964, she became pale, anorexic, and listless, without abdominal pain, change in bowel habit, bloody or dark stools. The laboratory values found were as follows: Hemoglobin, 7gm/100 ml; hematocrit, 25%; mean corpuscular volume, 76 cu μ; mean corpuscular hemoglobin, 19μμg; mean corpuscular hemoglobin concentration, 25%; white blood cell count (WBC), 6,850/cu mm; reticulocyte count, 0.5%; serum iron, 44μg/100 ml; total iron binding capacity, 420μg/100 ml; and stool specimen for occult blood, 1+. A course of iron was administered parenterally and the laboratory values changed to: Hemoglobin, 11.5 gm/100 ml; and hematocrit, 34%. In

REFERENCES

1 +
Santulli, T.V.:  "Meckel's Diverticulum,"  in Holt, L.E., Jr.; McIntosh, R.; and Barnett, H.L. (eds): Pediatrics , ed 13, New York: Appleton-Century-Crofts, 1962;, p 408.
2 +
Lightwood, R., and Brimblecombe, F.S.: Sick Children , ed 8, Philadelphia: J. B. Lippincott Co., 1963;, p 207.
3 +
Jolly, H.: Diseases of Children , Philadelphia: F. A. Davis Co., 1964;, p 96.
4 +
Gross, R.E.: The Surgery of Infancy and Childhood , Philadelphia: W. B. Saunders Co., 1953;, p 211.
5 +
Potts, W.J.:  "Meckel's Diverticulum,"  in Kelly, V. C. (ed): Practice of Pediatrics , Hagerst[ill]wn, Pa: Chap 6, W. F. Prior Co., 1960;, vol 3, p 29.
6 +
Benson, C.D.:  "Surgical Implications of Meckel's Diverticulum,"  in Benson, C.D., et al (eds.): Pediatric Surgery , Chicago: Year Book Medical Publishers Inc., 1962;, vol 2, p 725.
7 +
Jackson, R.H., and Bird, A.R.:  Meckel's Diverticulum in Childhood , Brit Med J 2:1399, 1961;.
8 +
Weinstein, E.C.; Cain, J.C.; and ReMine, W.H.:  Meckel's Diverticulum: 55 Years of Clinical and Surgical Experience , JAMA 182:251, 1962;.
9 +
Lamphier, T.A., et al:  Meckel's Diverticulum: A Survey of 109 Cases , J Int Coll Surg 37:523, 1962;.
10 +
Frederick, P.L., and Johnson, E.T.:  Meckel's Diverticulum in Childhood: A Review of 73 Cases , Postgrad Med 34:341, 1963;.
11 +
Taneja, O.P., and Taneja, S.:  Diseases of Meckel's Diverticulum Surgery 90:349, 1965;.
12 +
Rutherford. R.B., and Akers, D.R.: Meckel's  Diverticulum: A Review of 148 Pediatric Patients, With Special Reference to the Pattern of Bleeding and to Mesodiverticular Vascular Band , Surgery 59:618, 1966;.
13 +
Söderlund, S.:  Meckel's Diverticulum: A Clinical and Histologic Study , Acta Chir Scand , (Suppl 248) , 1959;.
14 +
Dragstedt, L.P.:  Ulcus Acidum of Meckel's Diverticulum , JAMA 101:20, 1933;.
15 +
Pemberton, J. de J., and Stalker, L.K.:  Meckel's Diverticulum: A Review of Twenty Cases With Report of Two Cases , Surgery 3:563, 1938;.
16 +
Hashemian, H., and Murray, E.T.:  Complications of Meckel's Diverticulum With an Analysis of 18 Cases , Brit Med J 1:556, 1954;.
17 +
Freedman, M.A., et al:  Meckel's Diverticulum in Infants and Children , Amer J Surg 87:160, 1954;.
18 +
Steward, J.H., and Storey, C.F.:  Meckel's Diverticulum: A Study of 141 Cases , Southern Med J 55:16, 1962;.
19 +
Bischoff, M.F., and Stampfli, W.:  Meckel's Diverticulum , Radiology 65:576, 1955;.

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References

1 +
Santulli, T.V.:  "Meckel's Diverticulum,"  in Holt, L.E., Jr.; McIntosh, R.; and Barnett, H.L. (eds): Pediatrics , ed 13, New York: Appleton-Century-Crofts, 1962;, p 408.
2 +
Lightwood, R., and Brimblecombe, F.S.: Sick Children , ed 8, Philadelphia: J. B. Lippincott Co., 1963;, p 207.
3 +
Jolly, H.: Diseases of Children , Philadelphia: F. A. Davis Co., 1964;, p 96.
4 +
Gross, R.E.: The Surgery of Infancy and Childhood , Philadelphia: W. B. Saunders Co., 1953;, p 211.
5 +
Potts, W.J.:  "Meckel's Diverticulum,"  in Kelly, V. C. (ed): Practice of Pediatrics , Hagerst[ill]wn, Pa: Chap 6, W. F. Prior Co., 1960;, vol 3, p 29.
6 +
Benson, C.D.:  "Surgical Implications of Meckel's Diverticulum,"  in Benson, C.D., et al (eds.): Pediatric Surgery , Chicago: Year Book Medical Publishers Inc., 1962;, vol 2, p 725.
7 +
Jackson, R.H., and Bird, A.R.:  Meckel's Diverticulum in Childhood , Brit Med J 2:1399, 1961;.
8 +
Weinstein, E.C.; Cain, J.C.; and ReMine, W.H.:  Meckel's Diverticulum: 55 Years of Clinical and Surgical Experience , JAMA 182:251, 1962;.
9 +
Lamphier, T.A., et al:  Meckel's Diverticulum: A Survey of 109 Cases , J Int Coll Surg 37:523, 1962;.
10 +
Frederick, P.L., and Johnson, E.T.:  Meckel's Diverticulum in Childhood: A Review of 73 Cases , Postgrad Med 34:341, 1963;.
11 +
Taneja, O.P., and Taneja, S.:  Diseases of Meckel's Diverticulum Surgery 90:349, 1965;.
12 +
Rutherford. R.B., and Akers, D.R.: Meckel's  Diverticulum: A Review of 148 Pediatric Patients, With Special Reference to the Pattern of Bleeding and to Mesodiverticular Vascular Band , Surgery 59:618, 1966;.
13 +
Söderlund, S.:  Meckel's Diverticulum: A Clinical and Histologic Study , Acta Chir Scand , (Suppl 248) , 1959;.
14 +
Dragstedt, L.P.:  Ulcus Acidum of Meckel's Diverticulum , JAMA 101:20, 1933;.
15 +
Pemberton, J. de J., and Stalker, L.K.:  Meckel's Diverticulum: A Review of Twenty Cases With Report of Two Cases , Surgery 3:563, 1938;.
16 +
Hashemian, H., and Murray, E.T.:  Complications of Meckel's Diverticulum With an Analysis of 18 Cases , Brit Med J 1:556, 1954;.
17 +
Freedman, M.A., et al:  Meckel's Diverticulum in Infants and Children , Amer J Surg 87:160, 1954;.
18 +
Steward, J.H., and Storey, C.F.:  Meckel's Diverticulum: A Study of 141 Cases , Southern Med J 55:16, 1962;.
19 +
Bischoff, M.F., and Stampfli, W.:  Meckel's Diverticulum , Radiology 65:576, 1955;.

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