Meckel's diverticulum: Difference between revisions
No edit summary |
|||
Line 27: | Line 27: | ||
#pRBCs prn | #pRBCs prn | ||
#surgery consult | #surgery consult | ||
==See Also== | |||
[[Abdominal Pain (Peds)]] | |||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:GI]] | [[Category:GI]] |
Revision as of 05:36, 21 November 2011
Background
- most common cause of sig LGIB in children
- Due to vitelline duct not disappearing by 7 wks
Rule of 2's
- 2% of population
- 2 ft from ileocecal valve
- 2% become symptomatic
- 45% are 2 years of age
Diagnosis
- Rectal bleeding (+/- pain)
- Most common presentation in <5 y/o
- May be intermittent or massive
- Obstruction (can cause intussusception)
- Diverticulitis
- Umbilical fistula
- 1/3 will perforate
Workup
- CT
- Meckel's scan (test of choice)
Treatment
- NGT
- IVF
- pRBCs prn
- surgery consult