E) It can serve as a lead point for intussusception
Meckel’s diverticulum follows the “rule of 2’s” – occurs in approximately 2% of the population, typically presents at < 2 years old, is an outpouching remnant of the vitelline duct in the ileum that is 2 inches long and approximately 2 feet from the ileocecal valve. MD presents with painless rectal bleeding, often brick-red or currant jelly in appearance, but may be bright red if there is rapid transit of the blood. Bleeding can be significant and cause severe anemia. Meckel radionuclide scan is used to diagnose since 80% contain gastric mucosa (and any that are symptomatic are usually symptomatic due to acid secretion by the gastric mucosa. Complications include serving as a lead point for intussusception, anemia from blood low, diverticulitis-like inflammation with fever and RLQ pain, perforation and peritonitis.
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May 1, 2019 at 3:17 pm
E) It can serve as a lead point for intussusception
Meckel’s diverticulum follows the “rule of 2’s” – occurs in approximately 2% of the population, typically presents at < 2 years old, is an outpouching remnant of the vitelline duct in the ileum that is 2 inches long and approximately 2 feet from the ileocecal valve. MD presents with painless rectal bleeding, often brick-red or currant jelly in appearance, but may be bright red if there is rapid transit of the blood. Bleeding can be significant and cause severe anemia. Meckel radionuclide scan is used to diagnose since 80% contain gastric mucosa (and any that are symptomatic are usually symptomatic due to acid secretion by the gastric mucosa. Complications include serving as a lead point for intussusception, anemia from blood low, diverticulitis-like inflammation with fever and RLQ pain, perforation and peritonitis.