Clinical features

There are a variety of disease entities attributed to Meckel's diverticulum including gastrointestinal hemorrhage, intussusception, diverticulitis and perforation. The most common presenting symptom is that of gastrointestinal bleeding due to excessive acid and pepsin production from an ectopic gastric mucosa which may be present within the diverticulum. Bloody diarrhea in the absence of abdominal pain is the classical presenting picture. Other complications of Meckel's diver-ticulum are intussusception in which the divertic-ulum acts as a lead point, diverticulitis with symptoms similar to those of appendicitis and perforation.

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