Meckel's diverticulum: Difference between revisions
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Revision as of 03:54, 27 October 2014
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