Summary
Definition
History and exam
Key diagnostic factors
- idade <2 anos
- passagem retal de sangue vermelho vivo (hematoquezia)
- constipação intratável (obstipação)
Other diagnostic factors
- sexo masculino
- náuseas e vômitos
- cólicas abdominais
- dor na parte inferior do abdome
- desconforto abdominal difuso
- massa abdominal palpável
- hipotensão/taquicardia
Risk factors
- não há fatores de risco conhecidos
Diagnostic tests
1st tests to order
- Hemograma completo
- endoscopia por cápsula
- Angiotomografia ou angiografia mesentérica
- varredura com pertecnetato de tecnécio-99m ("varredura de Meckel")
- tomografia computadorizada (TC) do abdome e da pelve
- ultrassonografia de abdome
Tests to consider
- enema com contraste
- enterografia por tomografia computadorizada (TC)
- endoscopia por duplo balão
- exploração cirúrgica do abdome
Treatment algorithm
assintomático
pacientes sintomáticos
Contributors
Authors
Ali Tavakkoli, MBBS, FRCS, FACS

Chief
Division of General and GI Surgery
Brigham and Women's Hospital
Associate Professor of Surgery
Harvard Medical School
Boston
MA
Disclosures
AT declares that he has no relevant financial conflicts related to this topic.
Acknowledgements
Dr Ali Tavakkoli would like to gratefully acknowledge Dr Gordon G. Wisbach, a previous contributor to this topic.
Disclosures
GGW declares that he has no competing interests.
Peer reviewers
Sina Dorudi, PhD, FRCS, FRCS (Gen)
Professor of Surgical Oncology
Consultant Colorectal Surgeon
The Royal London Hospital
London
UK
Disclosures
SD declares that he has no competing interests.
Wael El-Matary, MBBCh, MD, MRCP
Assistant Professor of Pediatrics
University of Alberta
Edmonton
Alberta
Canada
Disclosures
WEM declares that he has no competing interests.
Stephen Kavic, MD
Associate Professor of Surgery
University of Maryland
Baltimore
MD
Disclosures
SK declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Hansen CC, Søreide K. Systematic review of epidemiology, presentation, and management of Meckel's diverticulum in the 21st century. Medicine (Baltimore). 2018 Aug;97(35):e12154.Full text Abstract
Yahchouchy EK, Marano AF, Etienne JC, et al. Meckel's diverticulum. J Am Coll Surg. 2001 May;192(5):658-62. Abstract
Gan T, Evers MB. Meckel diverticulum. In: Townsend CM Jr. Sabiston textbook of surgery. 21st ed. St. Louis, MO: Elsevier; 2021:1240-300.
Sengupta N, Kastenberg DM, Bruining DH, et al. The role of imaging for GI bleeding: ACG and SAR consensus recommendations. Radiology. 2024 Mar;310(3):e232298.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Apendicite
- Intussuscepção não relacionada a divertículo de Meckel
- Cólica biliar
More DifferentialsGuidelines
- The role of imaging for GI bleeding: ACG and SAR consensus recommendations
More GuidelinesLog in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer