Meckel's diverticulum

Background

1. most common cause of sig LGIB in kids
2. 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)
3. d/t vitelline duct not disappearing by 7 wks

Diagnosis

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

Workup

1. CT may show
2. Meckel's scan (test of choice)

Treatment

1. NGT
2. IVF
3. PRBCs prn
4. surgery consult