What are two most common complications of Meckel diverticulum?

The diagnosis of Meckel’s diverticulum should be considered in patients with unexplained abdominal pain, nausea and vomiting, or intestinal bleeding. Major complications include bleeding, obstruction, intussusception, diverticulitis and perforation.

What are the complications of Meckel’s diverticulum?

The major complications are hemorrhage, obstruction, intussusception, diverticulitis and perforation. Bleeding is the most common complication occurring in children, and it typically presents as hematochezia. The hemorrhage is a result of heterotopic gastric mucosa leading to ulceration.

What is the most common symptoms of Meckel diverticulum?

What are the symptoms of Meckel’s diverticulum? The symptom seen most often with Meckel’s diverticulum is the passage of a large amount of dark red blood from the rectum. There may also be brick-colored, jelly-like stool present. Passing the blood is usually painless, although some children may have abdominal pain.

How does Meckel’s diverticulum present in adults?

Asymptomatic MD may be discovered during abdominal exploration for the evaluation of unrelated pathology. At times, Meckel’s diverticula are found incidentally on diagnostic imaging. When symptomatic, MD may present with abdominal pain or symptoms of gastrointestinal bleeding or bowel obstruction [1].

What is a Meckel’s scan for adults?

Meckel scintigraphy is indicated to localize ectopic gastric mucosa as the unexplained GI bleeding. This procedure should be used in patients that are not actively bleeding. For active bleeding, a 99mTc-RBC scan is the preferred modality.

What is the the most common mechanism of intestinal obstruction in Meckel diverticulum?

There are plenty of mechanisms for bowel obstruction arising from a Meckel’s diverticulum. Obstruction can be caused by trapping of a bowel loop by a mesodiverticular band, a volvulus of the diverticulum around a mesodiverticular band, and intussusception, as well as by an extension into a hernia sac (Littre’s hernia).

What is the second most common complication of Meckel’s diverticulum in pediatric patients?

The second most common complication was an intestinal hemorrhage (34% of all symptomatic patients) with a variation of 4.6 to 44%. Complications such as perforation (10%, reported in 6 series) and diverticulitis (13%, reported in all series) were less frequent (Table 4).

What is Meckel diverticulitis?

Meckel’s diverticulum is the most common congenital abnormality of the small intestine that results from incomplete closure of the vitelline (omphalo-mesenteric) duct. This true diverticulum, ~2 ft from the ileocecal valve commonly found on the anti-mesenteric border of the ileum, is benign and majority asymptomatic.

How does the presentation of Meckel’s diverticulum in adults differ from that in children?

Park et al found that clinical presentation differed between older and younger patients, and the most common presentation in a child was obstruction, while bleeding in an adult. Blevrakis et al reported peritonitis to be the most common symptomatic presentation of Meckel diverticulum in children.

What is Meckel diverticulum?

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.

Where is Meckel’s diverticulum?

Meckel’s diverticulum is a true diverticulum, containing all layers of the small bowel wall. They arise from the antimesenteric surface of the middle-to-distal ileum. The diverticulum represents a persistent remnant of the omphalomesenteric duct, which connects the midgut to the yolk sac in the fetus.

What causes Meckel’s diverticulum?

Meckel diverticulum, also known as Meckel’s diverticulum, is the most common congenital abnormality of the small intestine; it is caused by an incomplete obliteration of the vitelline duct (ie, failure of the omphalomesenteric duct to close).

What is Meckel’s disease?

‌Meckel’s diverticulum is a common abnormality of the small intestine that causes it to bulge outward. It is prevalent in 2% to 4% of the general population. But it is the most common birth defect of the digestive tract. ‌‌

What is the most common presentation in adults with Meckels diverticula?

Painless bleeding Lower gastrointestinal (GI) hemorrhage is the most common symptom in patients with a symptomatic Meckel diverticulum.

What is the most common presentation of a child with Meckel diverticulum?

Blevrakis et al reported peritonitis to be the most common symptomatic presentation of Meckel diverticulum in children. Rattan et al showed intestinal obstruction to be the most common complication of this abnormality in their study.

What causes Meckel’s diverticulitis?

What is the rate of complications associated with Meckel’s diverticula?

The rate of complications associated with Meckel’s diverticula, which has implications for the removal of incidentally discovered diverticula, remains a subject of debate. Symptomatic Meckel’s diverticula are more common in children 3 but do occur in adults.

What causes Meckel’s diverticulum?

Meckel’s diverticulum causes Meckel’s diverticulum is caused by the incomplete obliteration of the omphalomesenteric (vitellointestinal) duct which connects the yolk sac to the gut in the developing embryo 4). The omphalomesenteric (vitellointestinal) duct provides nutrition until the placenta forms.

What are the symptoms of Meckel’s diverticulum in children?

Meckel’s diverticulum can be difficult to diagnose. Many of the symptoms, such as vomiting, abdominal pain, and tenderness, can occur in several different conditions. If your child’s healthcare provider feels that the combination of symptoms suggests Meckel’s diverticulum, he or she will order certain tests.

What is the distance of Meckel’s diverticulum from the ileocecal valve?

In people aged 3–21 years, the average distance of the Meckel’s diverticulum from the ileocecal valve is 46 cm and for adults is 67 cm.