Professional Documents
Culture Documents
Meckel
Meckel
It is a true diverticulum which means it contains all 3 layers of intestine. Located on antimesenteric
border of ileum 45 to 60cm proximal to ileocecal valve. Results from incomplete closure of
vitellointestinal duct.
No familial predisposition
Rule of 2’s
2% prevalence
2 inch in length
Half of these who are symptomatic are less than 2 years of age
2 feet proximal to ileocecal valve
Clinical Features
Diagnosis
Most accurate diagnostic tool in children: Scintigraphy with sodium 99mTc-pertechnetate. This
is usually taken up by the heterotopic gastric mucosa.
Treatment
Complications
Hemorrhage
Strangulation
Intusssusception
Most common complication in children and young adults: Bleeding
Most common complication in adults: Intestinal obstruction
Progression of diverticulitis may lead to perforation or peritonitis
Differential Diagnosis
Anatomic: Diverticulosis
Vascular: Angiodysplasia, Hemorrhoids, Post biopsy or polypectomy
Inflammatory: IBD, Ulcer
Neoplastic: Polyp, Carcinoma
Sources: Uptodate
Written By: Dr Divya Ranasaria