8onald ChrlsblanLo Canl

403090223
laculLy of Medlclne 2009
1arumanagara unlverslLy
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MLCkLL DIVLk1ICULUM
MLCkLL ulvL81lCuLuM
W ls a remnanL of Lhe embryonlc yolk sac
W 1he omphalomesenLrlc ducLs connecLs Lhe yolk
sac Lo Lhe guL ln a developlng embryo and
provldes nuLrlLlon unLll Lhe placenLa ls
esLabllshed
W arLlal or compleLe fallure of lnvoluLlon of Lhe
omphalomesenLrlc ducLs resulL varles of resldual
sLrucLures Lhe mosL common one ls Meckel
dlverLlculum occurlng ln 23 of all lnfanLs
nelson 1exLbook of edlaLrlcs 18Lh ed
MLCkLL ulvL81lCuLuM
nelson 1exLbook of edlaLrlcs 18Lh ed
CLlnlCAL MAnllLS1A1lCn
W usually arlse ln flrsL 2 year of llfe (average 23)
W lnlLlal sympLoms can occur ln Lhe 1sL decade
W Ma[orlLy sympLoms ls ecLoplc mucosa lncludlng acld
secreLlng mucosa causes lnLermlLLenL palnless recLal
bleedlng
W SLool ls brlck colored or curranL [elly colored
W 8leedlng can cause slgnlflcanL anemla
W Less ofLen assoclaLed wlLh parLlal or compleLe bowel
obsLrucLlon
W 1he dlverLlculum acLs as Lhe lead polnL of an
lnLussucepLlon
W May occasslonaly become lnflamed and presenL slmllarly
Lo appendlclLls ulverLlcullLls can lead Lo perforaLlon and
perlLonlLls
nelson 1exLbook of edlaLrlcs 18Lh ed
ulACnCSlS
W SlgnlflcanL palnless recLal bleedlng suspecL
W laln abdomlnal radlograph no value
W Meckel radlonucllde scan mosL senslLlve
W Abdomlnal ulLrasound superlor mesenLrlc
anglography abdomlnal C1Scan exploraLory
laparoscopy
nelson 1exLbook of edlaLrlcs 18Lh ed
ulACnCSlS
nelson 1exLbook of edlaLrlcs 18Lh ed
18LA1MLn1
W Surglcal lnLervenLlon
nelson 1exLbook of edlaLrlcs 18Lh ed