Meckel's diverticulum physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]
Overview
Patients with Meckel's diverticulum usually appear normal on physical examination. Abdominal examination of patients with Meckel's diverticulum is usually normal, even in patients with gastrointestinal bleeding. Patient develop signs of acute abdomen due to diverticular inflammation or perforation in complicated cases. These signs include Abdominal distention, abdominal tenderness, rebound tenderness and guarding.
Physical Examination
Appearance of the Patient
- Patients with Meckel's diverticulum usually appear normal on physical examination.
Vital Signs
In patients with complications such as Meckel's diverticulitis:
- Fever
- Tachycardia
- Hypotension
- Tachypnea
- Breathing patterns may be altered by patient to compensate for abdominal pain[1]
Skin
Abdomen
- Abdominal examination of patients with Meckel's diverticulum is usually normal.
- Abdominal examination is typically benign even in patients with gastrointestinal bleeding.
- Patient may develop signs of acute abdomen due to diverticular inflammation or perforation in complicated cases:[2][3][4][5][6][7][8][9][10][11][12][13][14][15]
- Abdominal distention
- Abdominal tenderness
- Rebound tenderness
- Guarding may be present
References
- ↑ Hardin, M. Acute Appendicitis: Review and Update. Am Fam Physician".1999, Nov 1;60(7):2027-2034
- ↑ Capelão G, Santos M, Hilário S, Laureano M, Nobre J, Gonçalves I (2017). "Intestinal Obstruction by Giant Meckel's Diverticulum". GE Port J Gastroenterol. 24 (4): 183–187. doi:10.1159/000452690. PMC 5729947. PMID 29255748.
- ↑ Xue BY, Tang QY (2017). "Hemorrhage and intestinal obstruction secondary to a Meckel's diverticulum: a case report". Rev Esp Enferm Dig. 110. doi:10.17235/reed.2017.5219/2017. PMID 29168644.
- ↑ Darlington CD, Anitha G (2017). "Meckel's Diverticulitis Masquerading as Acute Pancreatitis: A Diagnostic Dilemma". Indian J Crit Care Med. 21 (11): 789–792. doi:10.4103/ijccm.IJCCM_317_17. PMC 5699010. PMID 29279643. Vancouver style error: initials (help)
- ↑ Louati H, Zouari M, Jallouli M, Dhaou MB, Zitouni H, Mhiri R (2017). "Perforated Meckel's Diverticulum causing Intussusception in a Neonate". J Neonatal Surg. 6 (3): 73. doi:10.21699/jns.v6i3.568. PMC 5593492. PMID 28920033.
- ↑ van Malderen K, Camilleri M (2018). "Large Meckel's Diverticulum and Dilated Adjacent Small Intestine Presenting With Intestinal Obstruction". Clin. Gastroenterol. Hepatol. 16 (1): A33. doi:10.1016/j.cgh.2017.09.003. PMID 28899672.
- ↑ Colvin RW, Al-Katib S, Ebersole J (2017). "Perforated Meckel's Diverticulitis". J. Gastrointest. Surg. 21 (12): 2126–2128. doi:10.1007/s11605-017-3511-1. PMID 28744739.
- ↑ Gatto J, Takada J, Otoch JP, Kreve F, Loss FS, Artifon E (2017). "Perforated Meckel's diverticulum". Rev Gastroenterol Peru. 37 (2): 162–164. PMID 28731997. Vancouver style error: initials (help)
- ↑ Aamery A, Al-Shehhi R, Malik K, Al-Harthy A (2017). "Perforation of Meckel's diverticulum with a foreign body mimicking acute appendicitis: A rare complication". J Pak Med Assoc. 67 (6): 942–944. PMID 28585600.
- ↑ Symeonidis N, Kofinas A, Psarras K, Pavlidis E, Pavlidis T (2017). "Meckel's Diverticulum Enterolith: An Extremely Rare Cause of Intestinal Obstruction". J Clin Diagn Res. 11 (4): PD11–PD12. doi:10.7860/JCDR/2017/25941.9751. PMC 5449856. PMID 28571210.
- ↑ Carbotta G, Laforgia R, Milella M, Sederino MG, Minafra M, Fortarezza F, Piscitelli D, Palasciano N (2016). "Small bowel obstruction caused by Anisakis and Meckel's diverticulum: a rare case". G Chir. 37 (6): 281–283. PMC 5505488. PMID 28350977.
- ↑ Swickard A, Grosel JM (2016). "Complicated Meckel diverticulum in a 15-year-old boy". JAAPA. 29 (11): 1–4. doi:10.1097/01.JAA.0000502860.28599.8f. PMID 27787281.
- ↑ Irie T, Shinji S, Arai H, Kan H, Yamada T, Koizumi M, Yokoyama Y, Takahashi G, Iwai T, Okusa M, Ohta K, Uchida E (2016). "Intestinal hemorrhage caused by Meckel's diverticulum with ectopic gastric mucosa on polypoid lesion: a case report". Surg Case Rep. 2 (1): 124. doi:10.1186/s40792-016-0252-4. PMC 5097056. PMID 27815920.
- ↑ Leng S, Ghionzoli M, Caporalini C, Buccoliero AM (2016). "Long-term intestinal bleeding in a child: a rare case of heterotopic gastric mucosa in the jejunum". BMJ Case Rep. 2016. doi:10.1136/bcr-2016-216949. PMID 27888219.
- ↑ Frooghi M, Bahador A, Golchini A, Haghighat M, Ataollahi M, Javaherizadeh H (2016). "Perforated Meckel's Diverticulum in a 3-day-old Neonate; A Case Report". Middle East J Dig Dis. 8 (4): 323–326. doi:10.15171/mejdd.2016.43. PMC 5145301. PMID 27957297.