Meckel's diverticulum: Difference between revisions

Revision as of 21:33, 7 June 2011

most common cause of sig LGIB in kids
rule of 2's
1. 2% of pop
2. 2 ft from ileocecal valve
3. 45% are 2 years of age
4. 2 cm long)
d/t vitelline duct not disappearing by 7 wks

rectal bleeding (+/- pain)
1. most common presentation in <5 y/o
2. may be intermittent or massive,
obstruction (can cause intuss.)
diverticulitis
umbilical fistula
1. 1/3 will perforate

Authors:

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 ==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==
-* 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!
+#rectal bleeding (+/- pain)
-* CT may show, xr nl, Meckel's scan is test of choice
+## most common presentation in <5 y/o
+## may be intermittent or massive,
+#obstruction (can cause intuss.)
+# diverticulitis
+# umbilical fistula
+## 1/3 will perforate
+==Workup==
+#CT may show
+#Meckel's scan (test of choice)
 ==Treatment==