Meckel's diverticulum: Difference between revisions
(Created page with "==Background== * most common cause of sig LGIB in kids, rule of 2's (2% of pop, 2 ft from ileocecal valve, 45% are 2 years of age, 2 cm long), d/t vitelline duct not disappeari...") |
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==Background== | ==Background== | ||
* most common cause of sig LGIB in kids, rule of 2's (2% of pop, 2 ft from ileocecal valve, 45% are 2 years of age, 2 cm long), d/t vitelline duct not disappearing by 7 wks | * most common cause of sig LGIB in kids, rule of 2's (2% of pop, 2 ft from ileocecal valve, 45% are 2 years of age, 2 cm long), d/t vitelline duct not disappearing by 7 wks | ||
==Diagnosis== | ==Diagnosis== | ||
* s/s: rectal bleeding (+/- pain) is the most common presentation in <5 y/o & may be intermittent or massive, obstruction (can cause intuss.), diverticulitis, umbilical fistula, 1/3 perf! | * s/s: rectal bleeding (+/- pain) is the most common presentation in <5 y/o & may be intermittent or massive, obstruction (can cause intuss.), diverticulitis, umbilical fistula, 1/3 perf! | ||
* CT may show, xr nl, Meckel's scan is test of choice | * CT may show, xr nl, Meckel's scan is test of choice | ||
==Treatment== | ==Treatment== | ||
# NGT | |||
# IVF | |||
#PRBCs prn | |||
# surgery consult | |||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:GI]] | |||
Revision as of 21:27, 7 June 2011
Background
- most common cause of sig LGIB in kids, rule of 2's (2% of pop, 2 ft from ileocecal valve, 45% are 2 years of age, 2 cm long), d/t vitelline duct not disappearing by 7 wks
Diagnosis
- s/s: rectal bleeding (+/- pain) is the most common presentation in <5 y/o & may be intermittent or massive, obstruction (can cause intuss.), diverticulitis, umbilical fistula, 1/3 perf!
- CT may show, xr nl, Meckel's scan is test of choice
Treatment
- NGT
- IVF
- PRBCs prn
- surgery consult