A 6-year-old girl was examined by a pediatrician because she had a history of recurrent pain in the region of the umbilicus. The pain was dull and aching in nature and lasted for about 1 week. It had recurred on four occasions in the previous 2 years. Then 2 days before the examination, the child had severe rectal bleeding and had fainted.
-On examination of the child, the pediatrician found the following signs and symptoms consistent with the diagnosis of Meckel's diverticulum except which?

Question

Quizplus · Accepted Answer

In many cases of Meckel's diverticulum, a small area of ectopic gastric mucosa is present, which is capable of producing hydrochloric acid and pepsin. In the adjoining mucous membrane, this child had a chronic ulcer that was responsible for the umbilical pain. Sudden severe hemorrhage from an artery in the floor of the ulcer was the cause of the rectal bleeding and fainting attack. The condition is not associated with pyrexia. After restoration of the blood volume and hemoglobin to a normal level, a child with this condition should be operated on and the diverticulum should be widely excised. The cut ends of the ileum then are joined by an end-to-end anastomosis.

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