Quick Case: 17 mo M child presenting with painless bright red rectal bleeding x 1 day. Benign physical exam. Afebrile, with stable vitals and normal labs.
Dx: Meckels Diverticulum
T99 scan for diagnosis (Sensitivity 85-97%, Specificity 97%)
Surgical treatment: Indicated in severe cases, significant blood loss, persistent abdominal pain, refractory to medical treatment. Most common procedure is the trans-umbilical laparoscopic-assisted (TULA) Meckel’s diverticulectomy, which allows the exteriorization of the diverticulum through the navel and the performance of the diverticulectomy outside of the abdomen with its repair in relationship to the enteric defect and morphology
Medical treatment: Indicated in the stable, non-severe cases, supportive care, high dose PPI, IV hydration