Nicholas,, a 3 year-old boy, is brought into your gastroenterology practice by his mother. They were referred to you by their pediatrician because Ali has been complaining of severe abdominal pain, especially after eating, for the past few weeks. He has an otherwise normal health history. His pediatrician ordered a fecal occult (hidden) blood test, hematocrit, and urinalysis. The fecal occult blood test is positive and the hematocrit (red blood cell count) is lower than normal for a child his age. Body temperature and urinalysis are normal. You perform a surface abdominal exam, which appears normal, but Ali complains of pain in the lower right abdominal quadrant during palpitation. You order a CT enterography procedure, which uses a contrast dye to make an X-ray of the small intestine. The CT shows a diverticulum. After confirmation with a technetium scan, you diagnose Nicholas withMeckel’s diverticulum.
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