Meckel's diverticulum (bulge in small intestine)


Description

A Meckel's diverticulum is a pouch that develops in the lower portion of the small intestine (ileum). It is present at birth and can contain stomach or pancreatic tissue. This diverticulum may become inflamed and infected, can cause intestinal blockage, and cause intestinal bleeding. An inflamed diverticulum is called diverticulitis. Up to 2% of people have a Meckel's diverticulum, but most never have any symptoms.

Symptoms

Bloody stools, abdominal pain, vomiting.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. A radio nucleotide scan called a technetium scan can sometimes detect this disorder. An abdominal CT scan may also be done.

Tests:
Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan

Other Specific Tests: Technetium scan

Specialists:
General Surgery, Gastroenterology, Pediatric Surgery, Pediatric Gastroenterology

Treatment

Surgery to remove the diverticulum is recommended for intestinal bleeding, inflammation or intestinal blockage. Iron replacement may be needed to correct anemia. Intravenous fluids and/or a blood transfusion are given for significant blood loss.
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