Meckel's diverticulum - Revision history

Danbot: Add peer-reviewed reference

2026-03-22T10:17:42Z

Add peer-reviewed reference

← Older revision		Revision as of 10:17, 22 March 2026
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	[[File:Diverticule de Meckel.jpg\|thumb\|Schematic of Meckel's diverticulum.]]		[[File:Diverticule de Meckel.jpg\|thumb\|Schematic of Meckel's diverticulum.]]
	*Most common cause of significant lower [[Special:MyLanguage/gastrointestinal bleeding (peds)\|gastrointestinal bleeding in children]]		*Most common cause of significant lower [[Special:MyLanguage/gastrointestinal bleeding (peds)\|gastrointestinal bleeding in children]]<ref>Sagar J, et al. Meckel diverticulum: a systematic review. J R Soc Med. 2006;99(10):501-505. PMID 17021300</ref>
	*Most common congenital abnormality of the small intestine		*Most common congenital abnormality of the small intestine
	*Caused by incomplete involution of vitelline duct (occurs by 7 weeks)		*Caused by incomplete involution of vitelline duct (occurs by 7 weeks)

Ostermayer: Prepared the page for translation

2026-01-04T23:44:49Z

Prepared the page for translation

← Older revision		Revision as of 23:44, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==

	[[File:Diverticule de Meckel.jpg\|thumb\|Schematic of Meckel's diverticulum.]]		[[File:Diverticule de Meckel.jpg\|thumb\|Schematic of Meckel's diverticulum.]]
	*Most common cause of significant lower [[gastrointestinal bleeding (peds)\|gastrointestinal bleeding in children]]		*Most common cause of significant lower [[Special:MyLanguage/gastrointestinal bleeding (peds)\|gastrointestinal bleeding in children]]
	*Most common congenital abnormality of the small intestine		*Most common congenital abnormality of the small intestine
	*Caused by incomplete involution of vitelline duct (occurs by 7 weeks)		*Caused by incomplete involution of vitelline duct (occurs by 7 weeks)
	*Blind-ending true diverticulum that contains all layers found in the ileum		*Blind-ending true diverticulum that contains all layers found in the ileum


	===Rule of 2's===		===Rule of 2's===

	*2% of population		*2% of population
	*2 feet from ileocecal valve		*2 feet from ileocecal valve
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	*2 times more common in boys		*2 times more common in boys
	*2 types of epithelium (gastric/pancreatic)		*2 types of epithelium (gastric/pancreatic)


	==Clinical presentation==		==Clinical presentation==
	*[[GI Bleeding (Peds)\|Rectal bleeding]] (+/- pain)
			*[[Special:MyLanguage/GI Bleeding (Peds)\|Rectal bleeding]] (+/- pain)
	**Most common presentation in <5yrs		**Most common presentation in <5yrs
	**May be intermittent or massive		**May be intermittent or massive
	*[[bowel obstruction\|Obstruction]] (due to [[intussusception]] or [[volvulus (peds)\|volvulus]])		*[[Special:MyLanguage/bowel obstruction\|Obstruction]] (due to [[Special:MyLanguage/intussusception\|intussusception]] or [[Special:MyLanguage/volvulus (peds)\|volvulus]])
	**May lead to [[ischemic bowel\|bowel ischemia]], [[pediatric shock\|shock]]		**May lead to [[Special:MyLanguage/ischemic bowel\|bowel ischemia]], [[Special:MyLanguage/pediatric shock\|shock]]
	*[[Diverticulitis]]		*[[Special:MyLanguage/Diverticulitis\|Diverticulitis]]
	*Umbilical fistula		*Umbilical fistula
	**1/3 will perforate		**1/3 will perforate
	*Traumatic rupture after blunt trauma possible		*Traumatic rupture after blunt trauma possible


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Lower GI bleeding DDX}}		{{Lower GI bleeding DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	[[File:Meckel's Diverticulum AFIP.jpg\|thumb\|Meckel's diverticulum in a surgical specimen.]]		[[File:Meckel's Diverticulum AFIP.jpg\|thumb\|Meckel's diverticulum in a surgical specimen.]]

	===Workup===		===Workup===

	*Meckel's scan (test of choice), also known as technetium-99m pertechnetate scan		*Meckel's scan (test of choice), also known as technetium-99m pertechnetate scan


	===Diagnosis===		===Diagnosis===


	==Management==		==Management==
	*[[NG tube\|NGT]]
	*Broad-spectrum [[pediatric antibiotics\|antibiotics]]		*[[Special:MyLanguage/NG tube\|NGT]]
	*[[IVF]]		*Broad-spectrum [[Special:MyLanguage/pediatric antibiotics\|antibiotics]]
	*[[pRBCs]] PRN		*[[Special:MyLanguage/IVF\|IVF]]
			*[[Special:MyLanguage/pRBCs\|pRBCs]] PRN
	*Surgery consult		*Surgery consult


	==See Also==		==See Also==
	*[[Abdominal pain (peds)]]
			*[[Special:MyLanguage/Abdominal pain (peds)\|Abdominal pain (peds)]]


	==External Links==		==External Links==


	==References==		==References==
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	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:GI]]		[[Category:GI]]
			</translate>

Rossdonaldson1: /* See Also */

2024-01-31T22:13:12Z

Rossdonaldson1: /* See Also */

2024-01-31T22:12:51Z

Rossdonaldson1: /* Workup */

2024-01-31T22:12:26Z

Workup

← Older revision		Revision as of 22:12, 31 January 2024
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	{{Lower GI bleeding DDX}}		{{Lower GI bleeding DDX}}

	==Workup==		==Evaluation==
			[[File:Meckel's Diverticulum AFIP.jpg\|thumb\|Meckel's diverticulum in a surgical specimen.]]
			===Workup===
	*Meckel's scan (test of choice), also known as technetium-99m pertechnetate scan		*Meckel's scan (test of choice), also known as technetium-99m pertechnetate scan

			===Diagnosis===

	==Management==		==Management==

Rossdonaldson1: /* Rule of 2's */

2024-01-31T22:10:27Z

Rule of 2's

← Older revision		Revision as of 22:10, 31 January 2024
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	*2% become symptomatic		*2% become symptomatic
	*2 years of age (45%)		*2 years of age (45%)
	*2 x more common in boys		*2 times more common in boys
	*2 types of epithelium (gastric/pancreatic)		*2 types of epithelium (gastric/pancreatic)

Rossdonaldson1: /* Rule of 2's */

2024-01-31T22:10:15Z

Rule of 2's

← Older revision		Revision as of 22:10, 31 January 2024
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	===Rule of 2's===		===Rule of 2's===
	*2% of population		*2% of population
	*2 ft from ileocecal valve		*2 feet from ileocecal valve
	*2 inches long		*2 inches long
	*2% become symptomatic		*2% become symptomatic

Rossdonaldson1: /* Background */

2024-01-31T22:10:05Z

Background

← Older revision		Revision as of 22:10, 31 January 2024
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	==Background==		==Background==
			[[File:Diverticule de Meckel.jpg\|thumb\|Schematic of Meckel's diverticulum.]]
	*Most common cause of significant lower [[gastrointestinal bleeding (peds)\|gastrointestinal bleeding in children]]		*Most common cause of significant lower [[gastrointestinal bleeding (peds)\|gastrointestinal bleeding in children]]
	*Most common congenital abnormality of the small intestine		*Most common congenital abnormality of the small intestine

Elcatracho: /* Rule of 2's */

2021-02-10T14:41:16Z

Rule of 2's

← Older revision		Revision as of 14:41, 10 February 2021
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	*2 years of age (45%)		*2 years of age (45%)
	*2 x more common in boys		*2 x more common in boys
			*2 types of epithelium (gastric/pancreatic)

	==Clinical presentation==		==Clinical presentation==

Elcatracho: /* Background */

2021-02-10T14:40:39Z

Background

← Older revision		Revision as of 14:40, 10 February 2021
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	*Most common cause of significant lower [[gastrointestinal bleeding (peds)\|gastrointestinal bleeding in children]]		*Most common cause of significant lower [[gastrointestinal bleeding (peds)\|gastrointestinal bleeding in children]]
	*Most common congenital abnormality of the small intestine		*Most common congenital abnormality of the small intestine
	*~~Due to~~ vitelline duct ~~not disappearing~~ by 7 ~~wks~~		*Caused by incomplete involution of vitelline duct (occurs by 7 weeks)
	*Blind-ending true diverticulum that contains all layers found in the ileum		*Blind-ending true diverticulum that contains all layers found in the ileum

← Older revision		Revision as of 22:13, 31 January 2024
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	==See Also==		==See Also==
	*[[Abdominal ~~Pain~~ (~~Peds~~)]]		*[[Abdominal pain (peds)]]

	==External Links==		==External Links==