臨床消化器病学ジャーナル

Meckel's diverticula are located along the antimesenteric border of the distal ileum and may contain rests of ectopic tissue. It can be silent or become symptomatic at any age. The symptoms are intestinal obstruction, gastrointestinal bleeding and intussusception. This case is about 11 years old boy with severe rectal bleeding and anemia that after Meckel's scan we can diagnosed the source of bleeding so with surgery the boy was cured.

Clostridium difficile infection in small bowel is a rare clinical condition which is more common in pre-existing gastrointestinal pathologies such as inflammatory bowel disease, prior colectomy or ileostomy and systemic illnesses causing immuno-compromised status. We present a fulminant case of Clostridium difficile enteritis which was preceded by an episode of Salmonella gastroenteritis in an otherwise healthy individual. It is complicated by severe terminal ileitis and multi-organ failure with subsequent laparotomy and small bowel resection finding a near perforation over the diseased segment of the ileum. The clinical characteristics and the importance of this unusual but potentially fatal infection would be discussed.

Meckel's diverticula are located along the antimesenteric border of the distal ileum and may contain rests of ectopic tissue. It can be silent or become symptomatic at any age. The symptoms are intestinal obstruction, gastrointestinal bleeding and intussusception. This case is about 11 years old boy with severe rectal bleeding and anemia that after Meckel's scan we can diagnosed the source of bleeding so with surgery the boy was cured.