Congenital diverticulum arising from the terminal ileum. Results from incomplete closure of vitello-intestinal duct.
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Rule of 2%
2% of general population
50% symptomatic under 2 year
In adult Pt. only 2% symptomatic
2:1 Male: Female
Length- 2 inch
2 feet from ileo-caecal valve
Clinical feature-
Majority - Asymptomatic
If symptoms present-
Severe hemorrhage- from ulcer if ectopic gastric and pancreatic mucosa
Intussusception
Meckel's Diverticulum- Peptic ulceration- formation by trauma & food
Peptic ulceration- if ectopic gastric mucosa present
Intestinal obstruction- due to trauma, FB, bact. infection
Diagnosis-
Technetium-99m
Laparoscopy- A fiber-optic instrument is inserted through the abdominal wall to view the organs in the abdomen
Fluoroscopy- Continuous X-ray image on a monitor
CT-Scan
Angiography- A type of X-ray used to check blood vessels.
D/d-
Intestinal Obstruction
Appendicitis
Lower G.I. Bleeding
Malignancy
Hematochezia- Bright red color blood with stool
Intussusception
Arteriovenous malformation
Management- only surgical
Indication for surgery-
hemorrhage
Intestinal obstruction
Diverticulitis
Umblico-ileal fistula
Pt. younger than 40 year
MD Longer than 2inch
Diverticula with narrow neck or Fibrous band
Suspected ectopic gastric tissue
Inflamed, thickened diverticula
1- Simple Diverticulectomy- without any of the afore mentioned complication
2- Small Bowel Resection- Both the MD along with adjacent bowel segment resected
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8 сен 2024
