Meckel's diverticulum history and symptoms

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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

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]

usually clinically silent but can be found incidentally or can present with a variety of clinical manifestations Between 25 and 50 percent of patients with symptoms present under 10 years of age Gastrointestinal bleeding: contain ectopic gastric mucosa are generally associated with bleeding, more common in children, usually painless Bleeding may be: chronic and insidious or acute Massive Children often present with dark red or maroon stools, while adults typically present with melena, which may be attributable to slower colonic transit time in adults Abdominal examination is typically benign in patients with gastrointestinal bleeding. no source identified with upper endoscopy or colonoscopy acute abdominal complaints intussusception, particularly recurrent or atypical intussusception: in children bowel obstruction: more common in adults diverticular inflammation (ie, Meckel's diverticulitis) acute appendicitis, particularly when the appendix has already been removed

perforation Incidental Meckel's diverticulum — A Meckel's diverticulum is occasionally identified incidentally on imaging studies. Meckel's diverticulum is more likely to be discovered incidentally during abdominal exploration performed for another presumptive diagnosis (eg, acute cholecystitis Gastrointestinal bleeding — Gastrointestinal bleeding related to Meckel's diverticulum is caused by ulceration of the small bowel due to acid secretion by ectopic gastric mucosa within the diverticulum. The site of mucosal ulceration and bleeding is adjacent to or just downstream from the diverticulum, not from the mucosa or ectopic tissue within the diverticulum. Although the most common ectopic tissue is gastric in origin, pancreatic and duodenal mucosa has also been identified

Common Symptoms

Common symptoms of [disease] include:

• [Symptom 1]
• [Symptom 2]
• [Symptom 3]

Less Common Symptoms

Less common symptoms of [disease name] include

• [Symptom 1]
• [Symptom 2]
• [Symptom 3]