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    Meckel's diverticulum

    A Meckel's diverticulum is a pouch on the wall of the lower part of the intestine that is present at birth (congenital). The diverticulum may contain tissue that is the same as tissue of the stomach or pancreas.

    Causes

    A Meckel's diverticulum is tissue left over from when the baby's digestive tract was forming before birth. A small number of peoplehave a Meckel's diverticulum, but only a few develop symptoms.

    Symptoms

    • Pain in the abdomen that can bemildor severe
    • Blood in the stool

    Symptoms often occur during the first few years of life, but they may not start until adulthood.

    Exams and Tests

    You may have the following tests:

    • Hematocrit
    • Hemoglobin
    • Stool smear for invisible blood (stool occult blood test )
    • Technetium scan

    Treatment

    You may need surgery to remove the diverticulumif bleeding develops. The segment of small intestine that contains the diverticulum is surgically removed. The ends of the intestine are sewn back together.

    You may need iron replacement to correct anemia. If you have a lot of bleeding, you may need a blood transfusion.

    Outlook (Prognosis)

    You can expect a full recovery with surgery.

    Possible Complications

    • Excess bleeding (hemorrhage) from the diverticulum
    • Folding of the intestines (intussusception), a type of blockage
    • Peritonitis
    • Tear (perforation) of the bowel at the diverticulum

    When to Contact a Medical Professional

    See your health care providerright awayif your child passes blood or bloody stool or has ongoing complaints of abdominal pain.

    References

    Kahn E, Daum F. Anatomy, histology, embryology, and developmental anomalies of the small and large intestine. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 96.

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    • Digestive system

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    • Digestive system organs

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    • Meckel's diverticulectom...

      Presentation

      • Digestive system

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      • Digestive system organs

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      • Meckel's diverticulectom...

        Presentation

      Review Date: 10/8/2012

      Reviewed By: George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, and Stephanie Slon.

      The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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      St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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