A 3-year-old boy presents with painless maroon-colored rectal bleeding and abdominal pain. Vital signs show BP 95/60, HR 102/min, RR 22/min, temperature 37.2°C, and SpO2 98% on room air. Hemoglobin is 9.2 g/dL. Physical examination reveals no abdominal distension or tenderness. Technetium-99m pertechnetate scan demonstrates ectopic gastric mucosa in the distal ileum with focal uptake. Which of the following is the most likely diagnosis?
- A)Intussusception
- B)Juvenile polyp
- C)Meckel diverticulumGABARITO
- D)Hirschsprung disease
- E)Ulcerative colitis
Explicação
Meckel diverticulum is a remnant of the vitelline duct and may contain ectopic gastric mucosa that can cause painless lower GI bleeding. Ver explicação completa e trilha adaptativa →