Meckel's diverticulum

Background

• most common cause of sig LGIB in children
• Due to vitelline duct not disappearing by 7 wks

Rule of 2's

1. 2% of population
2. 2 ft from ileocecal valve
3. 2% become symptomatic
4. 45% are 2 years of age

Diagnosis

1. Rectal bleeding (+/- pain)
   1. Most common presentation in <5 y/o
   2. May be intermittent or massive
2. Obstruction (can cause intussusception)
3. Diverticulitis
4. Umbilical fistula
   1. 1/3 will perforate

Workup

1. CT
2. Meckel's scan (test of choice)

Treatment

1. NGT
2. IVF
3. pRBCs prn
4. surgery consult

See Also

Abdominal Pain (Peds)