What is the most common symptom of Meckel diverticulum?

The most common symptom in children under age 5 is bleeding, which is caused by ulcers that develop in the small intestine when the diverticulum secretes stomach acid. Bowel obstruction occurs more often in older children and adults.

Can you see Meckel’s diverticulum on CT?

Computed tomography On CT scan, the Meckel’s diverticulum may be seen as a tubular blind-ending structure arising from the antimesenteric border of the terminal ileum. However, in uncomplicated cases, the diverticulum is often mistaken for a normal small bowel loop, thus limiting its detection.

How is Meckel’s diverticulum diagnosed?

An X-ray of the abdomen shows narrowed areas, blockages, and other problems. Meckel’s scan. A substance called technetium is injected into your child’s bloodstream though an intravenous (IV) line. The technetium can be seen on an X-ray in areas of the body where stomach tissue exists, such as the Meckel’s diverticulum.

What ectopic tissue is commonly found in a Meckel diverticulum?

Meckel diverticula may contain ectopic tissue. The two most common types are gastric mucosa and pancreatic tissue. As many as 50% of all diverticula contain gastric mucosa, whereas 5% contain pancreatic tissue.

What type of treatment is recommended for Meckel’s diverticulum?

Once a Meckel diverticulum has been diagnosed, laparotomy or laparoscopy can be used for resection. The goal is to resect the Meckel diverticulum, all ectopic gastric mucosa, and any ulcerated intestine to prevent recurrent bleeding.

How long is Meckel diverticulum surgery?

This procedure is usually an outpatient surgery that takes between 3 and 4 hours for the surgeon to perform.

How do you treat Meckel’s diverticulum?

How is Meckel’s diverticulum treated? People who have Meckel’s diverticulum but don’t have any symptoms will not require treatment. Those who experience symptoms due to the condition may need to have surgery to remove the diverticulum. Surgery typically includes removal of the diverticulum and repair of the intestines.

What complications may cause Meckel’s diverticulum?

Complications. As stated earlier, a person with Meckel’s diverticulum has a 4 to 6 percent lifetime risk of developing a complication. 10 The major complications are hemorrhage, obstruction, intussusception, diverticulitis and perforation.

What is differential diagnosis that most often confused with Meckel’s diverticulum?

Although Meckel’s diverticulum is the most prevalent congenital abnormality of the gastrointestinal tract, it is often difficult to diagnose. It may remain completely asymptomatic, or it may mimic such disorders as Crohn’s disease, appendicitis and peptic ulcer disease.

How do you manage Meckel’s diverticulum?

When do you remove Meckel’s diverticulum?

It may be necessary if the diverticulum is too inflamed or infected for your surgeon to remove it through a small incision. Doctors may also have to use open surgery if you have internal scars from earlier surgeries. The surgeon can normally remove the pouch without damaging the small intestine.

Should Meckel’s diverticulum be removed?

Can a CT scan diagnose a Meckel diverticulum?

Usually of limited use in the diagnosis of an uncomplicated Meckel diverticulum. Ultrasound may show a blind-ending peristaltic loop connected to the small bowel. CT is of limited value in uncomplicated cases, as the diverticulum may resemble a normal bowel loop.

How is the Meckel diverticulum related to Crohn’s disease?

There is an increased incidence of the Meckel diverticulum in Crohn patients compared to the general population: gastrointestinal hemorrhage (melena/hematochezia): most common complication and may account for ~30% of symptomatic cases 2. Large mostly self-limiting bright red rectal bleed.

Where is the Bulge in Meckel’s diverticulum located?

Meckel’s diverticulum is a congenital (present at birth) outpouching or bulge in the lower part of the small intestine. The bulge is a leftover of the umbilical cord. If it causes symptoms, Meckel’s diverticulum can be repaired with surgery. What is Meckel’s diverticulum?

Is the diverticulum a normal bowel loop?

CT is of limited value in uncomplicated cases, as the diverticulum may resemble a normal bowel loop. CT may show a fluid- or air-filled blind-ending pouch that arises from the antimesenteric side of the distal ileum. It is possible for the diverticulum to invert and appear as an intraluminal polypoid lesion 12. Angiography or CT angiography