Meckel's diverticulum: Difference between revisions
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==Background== | ==Background== | ||
* most common cause of sig LGIB in | *most common cause of sig LGIB in children | ||
* | *Due to vitelline duct not disappearing by 7 wks | ||
===Rule of 2's=== | ===Rule of 2's=== | ||
#2% of | #2% of population | ||
#2 ft from ileocecal valve | #2 ft from ileocecal valve | ||
#2% become symptomatic | |||
#45% are 2 years of age | #45% are 2 years of age | ||
==Diagnosis== | ==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 | ##1/3 will perforate | ||
==Workup== | ==Workup== | ||
#CT | #CT | ||
#Meckel's scan (test of choice) | #Meckel's scan (test of choice) | ||
==Treatment== | ==Treatment== | ||
# NGT | #NGT | ||
# IVF | #IVF | ||
# | #pRBCs prn | ||
# surgery consult | #surgery consult | ||
[[Category:Peds]] | [[Category:Peds]] | ||
[[Category:GI]] | [[Category:GI]] | ||
Revision as of 22:39, 1 August 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