Report of Meckel’s Diverticulum Mimicking Stricturing Crohn’s Disease in an Adolescent Male

Background: Crohn’s Disease, a form of inflammatory bowel disease (IBD), can present with hematochezia, iron deficiency anemia, intestinal obstruction, and elevated fecal calprotectin. Although less common in an adolescent male, Meckel’s Diverticulum is an alternative diagnosis to consider. We present a case wherein a 16-year-old patient with presumed stricturing Crohn’s Disease with absence of clinical improvement on standard therapies. Case Presentation: We present a case of a 16-year-old patient with presumed stricturing Crohn’s Disease with absence of clinical improvement on anti-TNF therapy. Lab work was notable for iron deficiency anemia, elevated fecal calprotectin, and normal inflammatory markers. On further review of his imaging, there were concerns for possible Meckel’s Diverticulum. Following diagnostic laparoscopy, his diagnosis was confirmed and his anemia resolved. Through discussion of this case, we illustrate how providers can differentiate between two similar conditions. Conclusions: Although less common in an adolescent, Meckel’s Diverticulum is an alternative diagnosis to consider in the setting of failure to improve on traditional therapies for IBD.