Meckel's diverticulum history and symptoms: Difference between revisions
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*[History finding 3] | *[History finding 3] | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
* Meckel's diverticulum is usually asymptomatic and is found incidentally on abdominal imaging or surgical exploration performed for a presumptive diagnosis such as acute cholecystitis (exploratory laparotomy, laproscopy). | * Meckel's diverticulum is usually [[asymptomatic]] and is found incidentally on [[Abdomen|abdominal]] [[imaging]] or surgical exploration performed for a presumptive diagnosis such as [[acute cholecystitis]] (exploratory [[laparotomy]], laproscopy). | ||
* The age of presentation for approximately half of all patients is less than 10 years of age. | * The age of presentation for approximately half of all [[Patient|patients]] is less than 10 years of age. | ||
Common symptoms of | Common symptoms of Meckel's diverticulum include: | ||
*Lower gastrointestinal bleeding: | *[[Lower gastrointestinal bleeding]]: | ||
**Mechanism: presence of ectopic gastric mucosa leads to acid secretion within the diverticulum and ulceration of the small bowel | **[[Mechanism (biology)|Mechanism]]: presence of [[Ectopia|ectopic]] [[gastric mucosa]] leads to [[acid]] [[secretion]] within the [[diverticulum]] and [[Ulcer|ulceration]] of the [[Small intestine|small bowel]] | ||
**Site: Downstream or adjacent to the diverticulum and not within it | **Site: Downstream or adjacent to the [[diverticulum]] and not within it | ||
** | **May be acute or chronic and insidious | ||
** | **May be a massive [[Bleeding|bleed]] | ||
**Usually painless | **Usually painless | ||
**More common in children | **More common in children | ||
**In children: presents as maroon or dark red stools | **In children: presents as maroon or dark red [[Human feces|stools]] | ||
**In adults: presents as melena as transit time through the colon is increased | **In adults: presents as [[melena]] as transit time through the [[Colon (anatomy)|colon]] is increased | ||
*Acute abdominal complaints such as pain in the abdomen may be seen in complicated cases, mimicking the presentation of acute appendicitis | *Acute [[Abdomen|abdominal]] complaints such as [[pain]] in the [[abdomen]] may be seen in complicated cases, mimicking the presentation of [[Appendicitis|acute appendicitis]] | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of Meckel's diverticulum arise in complicated cases: | Less common [[Symptom|symptoms]] of Meckel's diverticulum arise in complicated cases: | ||
* | *Symptoms of [[intussusception]], particularly recurrent or atypical [[intussusception]] commonly seen in children: | ||
* | *Symptoms of [[bowel obstruction]], more common in adults: | ||
* | *Symptoms of [[diverticular]] inflammation (ie, Meckel's [[diverticulitis]]): | ||
* | *Symptoms of [[perforation]]: | ||
==References== | ==References== | ||
Revision as of 15:31, 2 January 2018
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Meckel's diverticulum Microchapters |
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Meckel's diverticulum history and symptoms On the Web |
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Risk calculators and risk factors for Meckel's diverticulum history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]
Overview
Approximately 98% of people afflicted with Meckel's diverticulum are asymptomatic. If symptoms do occur, they typically appear before the age of two.
The majority of patients with [disease name] are asymptomatic.
OR
The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History and Symptoms
The most common presenting symptom is painless rectal bleeding, followed by intestinal obstruction, volvulus and intussusception. Occasionally, Meckel's diverticulitis may present with all the features of acute appendicitis. Also, severe pain in the upper abdomen is experienced by the patient along with bloating of the stomach region. At times, the symptoms are so painful such that they may cause sleepless nights with extreme pain in the abdominal area.
History and Symptoms
- The majority of patients with [disease name] are asymptomatic.
OR
- The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
- Symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].
History
Patients with [disease name]] may have a positive history of:
- [History finding 1]
- [History finding 2]
- [History finding 3]
Common Symptoms
- Meckel's diverticulum is usually asymptomatic and is found incidentally on abdominal imaging or surgical exploration performed for a presumptive diagnosis such as acute cholecystitis (exploratory laparotomy, laproscopy).
- The age of presentation for approximately half of all patients is less than 10 years of age.
Common symptoms of Meckel's diverticulum include:
- Lower gastrointestinal bleeding:
- Mechanism: presence of ectopic gastric mucosa leads to acid secretion within the diverticulum and ulceration of the small bowel
- Site: Downstream or adjacent to the diverticulum and not within it
- May be acute or chronic and insidious
- May be a massive bleed
- Usually painless
- More common in children
- In children: presents as maroon or dark red stools
- In adults: presents as melena as transit time through the colon is increased
- Acute abdominal complaints such as pain in the abdomen may be seen in complicated cases, mimicking the presentation of acute appendicitis
Less Common Symptoms
Less common symptoms of Meckel's diverticulum arise in complicated cases:
- Symptoms of intussusception, particularly recurrent or atypical intussusception commonly seen in children:
- Symptoms of bowel obstruction, more common in adults:
- Symptoms of diverticular inflammation (ie, Meckel's diverticulitis):
- Symptoms of perforation: