Meckel’s Diverticulum

MECKEL’S DIVERTICULUM


MECKEL’S DIVERTICULUM

  • Meckel’s diverticulum is a persistent remnant of the vitellointestinal duct.
  • It is found on the antimesentric side of the ileum.
  • Meckel’s diverticulum is a congenital diverticulum.
  • It is a true diverticulum (contains all the 3 layers of intestine).

Clinical features-

  1. Haemorrhage
  • Melaena may occur
  • Radioisotope scanning with technetium- 99m may demonstrate Meckel’s diverticulum.

2. Diverculitis

 3. Intussusception

4. Chronic ulceration

 5. Intestinal obstruction- leas to the development of volvulus.

6. Perforation

 7. Meckel’s diverticulum is an inguinal or femoral hernia is called Littre’s hernia.

Investigations-

  • Technetium- 99m labelled pertechnetate taken up by mucin secreting cells & parietal cells.
  • Useful in children with bleeding.

Treatment-

  • Meckel’s diverticulectomy

Exam Important

  • Meckel’s diverticulum is a persistent remnant of the vitellointestinal duct.
  • It is found on the antimesentric side of the ileum.
  • Meckel’s diverticulum is a congenital diverticulum.
  • It is a true diverticulum (contains all the 3 layers of intestine)

Clinical features-

  1. Haemorrhage
  • Melaena may occur
  • Radioisotope scanning with technetium- 99m may demonstrate Meckel’s diverticulum.

2. Diverculitis

3. Intussusception

4. Chronic ulceration

5. Intestinal obstruction- leas to the development of volvulus.

6. Perforation

7. Meckel’s diverticulum is an inguinal or femoral hernia is called Littre’s hernia.

Investigations-

  • Technetium- 99m labelled pertechnetate taken up by mucin secreting cells & parietal cells.
  • Useful in children with bleeding.

Treatment-

  • Meckel’s diverticulectomy
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