Painless lower GI bleed in a child | PGI entrance Preparations

Painless lower GI bleed in a child is seen in
A. Meckle’s diverticulum 
B. Rectal polyp 
C. Anal fissure 
D. Ac. Appendicitis
E. None of the above

Ans. A. Meckle’s diverticulum ; (B) Rectal polyp :
• Painless lower GI bleeding in a child is seen with :
— Rectal polyp
— Meckel’s diverticulum
—Piles secondary to vascular malformation 

* In Meckel’s diverticulum, haemorrhage occurs almost below 10 yrs and invariably results from peptic ulceration of ileal mucosa adjacent to the meckel’s diverticulum, lined with gastric mucosa. Diagnosis established by isotope scanning with technetium-99.

• Though piles occur in all ages but uncommon below 20 yrs.
• Bleeding due to anal fissure associated with severe pain.