Meckel’s diverticulum may present with which of the following signs or symptoms?

a. Hemorrhage

b. Intussusception

c. Volvulus

d. Patent omphalomesenteric duct

e. Right lower quadrant peritoneal findings

The most frequent congenital anomaly of the GI tract is a Meckel’s diverticulum. The incidence is about 2% of the general population, many of whom remain asymptomatic throughout life. Estimations of the frequency with which symptoms develop among people with Meckel’s diverticula vary from 4% to 30%, but is clear that the risk diminishes substantially with age. About half of those who become symptomatic are under the age of 2. Hemorrhage, acute diverticulitis, perforation, and small bowel obstruction or intussusception are all classic presenting scenarios for a child with a Meckel diverticulum. (Table) The approximate frequency of these presentations is shown above. Below are illustrations of the various anatomic abnormalities with their associated clinical presentations. (Figure) These presentations include Meckel’s diverticulitis which is virtually indistinguishable from acute appendicitis. 

SIGNS AND SYMPTOMS OF MECKEL’S DIVERTICULUM

Clinical Presentation   Approximate Frequency (%) Hemorrhage                        30–35

Small bowel obstruction     30–35

Diverticulitis                        20–25

Umbilical fistula                    10

Other                            Uncommon