Meckel's diverticulum

Background

• Most common cause of significant LGIB in children
• Due to vitelline duct not disappearing by 7 wks

Rule of 2's

• 2% of population
• 2 ft from ileocecal valve
• 2% become symptomatic
• 2 years of age (45%)

Diagnosis

• Rectal bleeding (+/- pain)
  • Most common presentation in <5yrs
  • May be intermittent or massive
• Obstruction (can cause intussusception)
• Diverticulitis
• Umbilical fistula
  • 1/3 will perforate

Workup

• Meckel's scan (test of choice)

Treatment

• NGT
• IVF
• pRBCs prn
• Surgery consult

See Also

Abdominal Pain (Peds)