Abstract

The case of an infant who suffered repeated attacks of melena and who was found at operation to have a diverticulum in the form of a duplication of the bowel about 12 inches long, with evidence of ulceration in the adjacent small intestine, is described. In addition this patient had a tumor in the right side of the chest which is believed to have led to her death. In the discussion cases from the literature of diverticulum presenting the form of intestinal duplication wholly or in part are cited; cases are also cited which suggest that the tumor of the chest may have been a diverticulum of alimentary tract origin. The significance of unexplained melena as an indication of congenital intestinal diverticulum with ulcer formation is emphasized.

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