Meckel's diverticulum
Revision as of 21:27, 7 June 2011 by Rossdonaldson1 (talk | contribs)
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