Acute Painless Lower Gastrointestinal Bleed That Mimics Meckel Diverticulum.

OBJECTIVE

We describe a case of gastrointestinal duplication cyst with heterotopic gastric mucosa presenting with hematochezia.

CASE: The patient was a previously healthy 2-month-old girl presenting with passing fresh blood in the diaper without distress or abdominal discomfort. She was evaluated for colic prior to this episode and discharged home. Meckel scan was positive, and surgeons performed an exploratory laparotomy to identify a jejunal duplication cyst. The infant had an uneventful recovery and was discharged home.

CONCLUSIONS

Gastrointestinal duplication cyst is an uncommon condition and can rarely present with lower gastrointestinal bleed with heterotopic gastric mucosa.