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    Meckel’s Diverticulum


    Last Reviewed on Oct 10, 2023
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    • Diverticulum of the small intestine.
    • The most common congenital abnormality of the GI tract.
    • May contain ectopic tissue: gastric, pancreatic.
    • Classically occurs in 2% of the population, is 2 inches long and 2 feet from ileocecal junction (Rule of Twos).
    • Important mimicker of another disorder (e.g. Crohn’s disease, appendicitis, PUD).

    Diagnostic Process

    • Consider with unexplained abdominal pain, nausea/vomiting, or painless rectal bleeding.
    • Complications include bleeding, obstruction, intussusception, diverticulitis, perforation, and tumors.
    • Ultrasonography or CT first line to rule in/out other pathologies.
    • Most specific test is technetium-99m pertechnetate scan (Meckel’s scan) especially if bleeding.

    Recommended Treatment

    • Surgical excision.
    • Complications are similar to those of any small bowel surgery.

    Criteria For Hospital Admission

    • As per general surgeon.

    Quality Of Evidence?



    Related Information

    Reference List

    1. Martin J. P., Connor P. D., Charles K. Meckel’s diverticulum. Am Fam Physician. 2000 Feb 15;61(4):1037-42, 1044.

    2. Cochran W. J. Meckel diverticulum [Internet]. Rahway (US): Merck Manuals Consumer Version; 2021 Aug [updated 2022 Sep; cited 2023 Jan 8]. Available from: https://www.merckmanuals.com/en-ca/home/children-s-health-issues/digestive-disorders-in-children/meckel-diverticulum

    3. Tavakkoli A. Meckel’s diverticulum [Internet]. [place unknown]: BMJ Publishing Group; 2022 Apr 8 [updated 2022 Dec 9; cited 2023 Jan 8]. Available from: https://bestpractice.bmj.com/topics/en-gb/804

    4. Javid P. J., Pauli E. M. Meckel’s diverticulum [Internet]. [place unknown]: Wolters Kluwer; 2022 Feb 1 [updated 2022 Dec; cited 2023 Jan 8]. Available from: https://www.uptodate.com/contents/meckels-diverticulum#H1124079404

    5. Raftery A. T., Delbridge M. S., Wagstaff M. J. D., Bridge K. Churchill’s pocketbook of surgery. 5th ed. [place unknown]: Elsevier Canada; 2021.


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