Highlights & Basics
- Meckel diverticulum is the commonest congenital abnormality of the small bowel.
- Many people with Meckel diverticulum remain asymptomatic for their entire lives.
- The majority of symptomatic patients present before the age of 2 years.
- Gastrointestinal bleeding is a common presenting symptom in children and adults. The most useful diagnostic tool in cases with bleeding is the technetium-99m pertechnetate scan (Meckel scan).
- Obstructive symptoms are another common presenting symptom and may be caused by several mechanisms, including intussusception.
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History & Exam
Key Factors
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Diagnostics Tests
Treatment Options
Definition
Epidemiology
Etiology
Pathophysiology
Citations
Hansen CC, Søreide K. Systematic review of epidemiology, presentation, and management of Meckel's diverticulum in the 21st century. Medicine (Baltimore). 2018 Aug;97(35):e12154.[Abstract][Full Text]
Yahchouchy EK, Marano AF, Etienne JC, et al. Meckel's diverticulum. J Am Coll Surg. 2001 May;192(5):658-62.[Abstract]
Park JJ, Wolff BG, Tollefson MK, et al. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg. 2005;241:529-33.[Abstract][Full Text]
Sagar J, Kumar V, Shah DK. Meckel's diverticulum: a systematic review. J R Soc Med. 2006;99:501-5.[Abstract][Full Text]
Ezekian B, Leraas HJ, Englum BR, et al. Outcomes of laparoscopic resection of Meckel's diverticulum are equivalent to open laparotomy. J Pediatr Surg. 2019 Mar;54(3):507-10.[Abstract]
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3. Yahchouchy EK, Marano AF, Etienne JC, et al. Meckel's diverticulum. J Am Coll Surg. 2001 May;192(5):658-62.[Abstract]
4. Park JJ, Wolff BG, Tollefson MK, et al. Meckel diverticulum: the Mayo Clinic experience with 1476 patients (1950-2002). Ann Surg. 2005;241:529-33.[Abstract][Full Text]
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12. Sagar J, Kumar V, Shah DK. Meckel's diverticulum: a systematic review. J R Soc Med. 2006;99:501-5.[Abstract][Full Text]
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25. Green BT, Rockey DC. Acute gastrointestinal bleeding. Semin Gastrointest Dis. 2003;14:44-65.[Abstract]
26. Swaniker F, Soldes O, Hirschl RB. The utility of technetium 99m pertechnetate scintigraphy in the evaluation of patients with Meckel's diverticulum. J Pediatr Surg. 1999;34:760-765.[Abstract]
27. Chu UB, Beals DA, Schwartz RW. Laparoscopic management of Meckel's diverticulum. Curr Surg. 2001;58:458-461.[Abstract]
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30. Elsayes KM, Menias CO, Harvin HJ, et al. Imaging manifestations of Meckel's diverticulum. AJR Am J Roentgenol. 2007 Jul;189(1):81-8.[Abstract][Full Text]
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32. He Q, Zhang YL, Xiao B, et al. Double-balloon enteroscopy for diagnosis of Meckel's diverticulum: comparison with operative findings and capsule endoscopy. Surgery. 2013 Apr;153(4):549-54.[Abstract]
33. Soltero MJ, Bill AH. The natural history of Meckel's diverticulum and its relation to incidental removal: a study of 202 cases of diseased Meckel's diverticulum found in King County, Washington, over a fifteen year period. Am J Surg. 1976 Aug;132(2):168-73.[Abstract]
34. Heyman S. Meckel's diverticulum: possible detection by combining pentagastrin with histamine H2 receptor blocker. J Nucl Med. 1994;35:1656-1658.[Abstract][Full Text]
35. Sinha CK, Pallewatte A, Easty M, et al. Meckel's scan in children: a review of 183 cases referred to two paediatric surgery specialist centres over 18 years. Pediatr Surg Int. 2013;29:511-517.[Abstract]
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39. The Lancet. Meckel's diverticulum: surgical guidelines at last? Lancet. 1983;2:438-439.[Abstract]
40. Mackey WC, Dineen P. A fifty year experience with Meckel's diverticulum. Surg Gynecol Obstet. 1983;156:56-64.[Abstract]
41. Fa-Si-Oen PR, Roumen RM, Croiset van Uchelen FA. Complications and management of Meckel's diverticulum: a review. Eur J Surg. 1999;165:674-678.[Abstract]
42. Crosthwaite GL, Leather AJ. Laparoscopy: the ultimate diagnostic tool for a bleeding Meckel's diverticulum. Aust N Z J Surg. 1997;67:223-224.[Abstract]
43. Zitsman JL. Pediatric minimal-access surgery: update 2006. Pediatrics. 2006 Jul;118(1):304-8.[Abstract]
44. Ezekian B, Leraas HJ, Englum BR, et al. Outcomes of laparoscopic resection of Meckel's diverticulum are equivalent to open laparotomy. J Pediatr Surg. 2019 Mar;54(3):507-10.[Abstract]
Key Articles
Referenced Articles
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