Meckel's diverticulum True congential diverticulum

Meckel's diverticulumMeckel's diverticulum
  • Facts:
    Most common congenital abnormality of the small intestines
    Failure of vitelline duct to obliterate
    Ectopic gastric mucosa
  • History / PE:
    Painless melena in a 2-3 yo child
  • Diagnosis:
    Technectium-99m pertechnate scan
  • Pneumonic:
    Rule of two's

    Two inches long
    Two feet from the ileocecal valve
    Two % of the population, presents within first two years of life
    May contain two types of epithelial tissue

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August 6th 2010