Meckel's diverticulum: Difference between revisions
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==Background== | ==Background== | ||
* | *Most common cause of significant LGIB in children | ||
*Due to vitelline duct not disappearing by 7 wks | *Due to vitelline duct not disappearing by 7 wks | ||
| Line 7: | Line 7: | ||
#2 ft from ileocecal valve | #2 ft from ileocecal valve | ||
#2% become symptomatic | #2% become symptomatic | ||
# | #2 years of age (45%) | ||
==Diagnosis== | ==Diagnosis== | ||
#Rectal bleeding (+/- pain) | #Rectal bleeding (+/- pain) | ||
##Most common presentation in < | ##Most common presentation in <5yrs | ||
##May be intermittent or massive | ##May be intermittent or massive | ||
#Obstruction (can cause intussusception) | #Obstruction (can cause intussusception) | ||
| Line 19: | Line 19: | ||
==Workup== | ==Workup== | ||
#Meckel's scan (test of choice) | #Meckel's scan (test of choice) | ||
| Line 26: | Line 25: | ||
#IVF | #IVF | ||
#pRBCs prn | #pRBCs prn | ||
# | #Surgery consult | ||
==See Also== | ==See Also== | ||
Revision as of 18:03, 1 November 2012
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