Meckel Diverticulum

Question 1

Def

Answer 1

is the result of an incomplete fusion of the omphalomesenteric duct during embryonic development. This causes a fibrous band to connect the small intestine to the umbilicus, known as a Meckel diverticulum.

Question 2

S/S

Answer 2

• bleeding
• anemia
• severe colicky abdominal pain
• abdominal distention
• guarding (tensing of the abdominal wall muscles)
• rebound tenderness

Question 3

Management/Tx:

Answer 3

Management:
- stool for occult blood tests
- CBC (anemia)
- meckel scan

Tx:
- surgery is necessary to remove the diverticulum
- ileal resection may be necessary
- blood products for anemia
- IV fluids

Question 4

Complications

Answer 4

bleeding, anemia, and intestinal obstruction such as volvulus and intussusception, half of which occur within the first 2 years of life