Meckel's diverticulum

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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


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
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