[When is a simultaneous operation of Meckel's diverticulum indicated: (always--never--or only in special circumstances?)]

Meckel's diverticulum causes in complications 4-16%. These appear, however, only in adolescents. Thus the simultaneous removal of a diverticulum without symptoms is only justified in adolescents. One should renounce to a search and removal in adults. In case of appendectomy indicated by suspected appendicitis with the appendix found to be normal and absent exudation in the abdomen, the search for a Meckel's diverticulum is superfluous. One should also renounce to a search and removal if there is a septic abdominal disease, because a removal in peritonitis is more complicated than the risk of complications a not-removed diverticulum will cause.