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Meckel's diverticulum.
1Departments of Emergency Medicine, Naval Hospital, San Diego, CA 92134-5000.
The American Journal of Emergency Medicine
|March 1, 1988
Summary
Meckel's diverticulum, a common congenital anomaly, often causes significant illness due to delayed diagnosis. Early suspicion and diagnostic imaging like 99mTc pertechnetate scintigraphy are crucial for prompt identification and management.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Diagnostic Imaging
Background:
- Meckel's diverticulum is a congenital anomaly with a 2% incidence in the US population, affecting millions.
- It is frequently asymptomatic but can lead to severe morbidity and mortality when symptomatic.
Observation:
- The condition is often asymptomatic and described as a "great mimic," making diagnosis challenging.
- Symptoms typically manifest as bowel obstruction, gastrointestinal bleeding, or inflammation, predominantly in males and younger individuals.
Findings:
- A high index of suspicion is essential for timely diagnosis of Meckel's diverticulum.
- 99mTc pertechnetate scintigraphy is the preferred diagnostic tool for stable patients with suspected Meckel's diverticulum.
Implications:
- Missed or delayed diagnosis can result in severe complications such as bowel infarction or exsanguination.
- Considering Meckel's diverticulum in unclear abdominal presentations is vital for patient outcomes.