Meckel's diverticulum physical examination

Meckel's diverticulum Microchapters
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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

Skin

• Diaphoresis
• Pallor

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:
  • Abdominal distention
  • Abdominal tenderness
  • Rebound tenderness
  • Guarding may be present