Meckel's diverticulum: Difference between revisions
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===Rule of 2's=== | ===Rule of 2's=== | ||
*2% of population | |||
*2 ft from ileocecal valve | |||
*2% become symptomatic | |||
*2 years of age (45%) | |||
==Diagnosis== | ==Diagnosis== | ||
*Rectal bleeding (+/- pain) | |||
**Most common presentation in <5yrs | |||
**May be intermittent or massive | |||
*Obstruction (can cause intussusception) | |||
*Diverticulitis | |||
*Umbilical fistula | |||
**1/3 will perforate | |||
==Workup== | ==Workup== | ||
*Meckel's scan (test of choice) | |||
==Treatment== | ==Treatment== | ||
*NGT | |||
*IVF | |||
*pRBCs prn | |||
*Surgery consult | |||
==See Also== | ==See Also== | ||
Revision as of 22:37, 4 March 2015
Background
- Most common cause of significant 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
- 2 years of age (45%)
Diagnosis
- Rectal bleeding (+/- pain)
- Most common presentation in <5yrs
- May be intermittent or massive
- Obstruction (can cause intussusception)
- Diverticulitis
- Umbilical fistula
- 1/3 will perforate
Workup
- Meckel's scan (test of choice)
Treatment
- NGT
- IVF
- pRBCs prn
- Surgery consult