Meckel's diverticulum

Question 1

Who does it affect?

Answer 1

Boys by the age of 2

Question 2

Define

Answer 2

Congenital abnormality of ileocaecal area (remnant of vitelline duct) leading to secretion of intestinal acid (like gastric mucosa) or alkaline (pancreatic juices), which causes ulceration and rectal bleeding.

Question 3

Symptoms

Answer 3

Asymptomatic
IDA
Rectal bleeding

Question 4

Investigations

Answer 4

Technetium-99 scan uptake

Question 5

Rule of 2

Answer 5

Meckel diverticulum:

• occurs in about 2% of the population
• is about 2cm in long
• is found about 2 ft from the ileocecal valve
• approximately 2% of patients develop a complication over their lifetime
• the male to female ratio is 2:1.

Question 6

Meckel’s diverticulum is a remnant of?

Answer 6

Vitelline duct that contains ectopic gastric mucosa