Meckel Diverticulum


HISTORY & PHYSICAL

Diagnosis:

Treatment & Disposition:

Asymptomatic

Incidental finding on imagin Treatment Not required
Detected during durgery for other reason Excision of diverticulum
Symptomatic
Bleeding Excision of diverticulum & opposing region of ileum
+/- Blood transfusion
Obstruction Excision of diverticulum & lysis of adhesions
Perforation & Peritonitis Excision of diverticulum or small bowel segmental resection
Perioperative Abx:
cefotaxime : children: 50 mg/kg intravenously/intramuscularly every 6-8 hours; adults: 1000 mg intravenously every 8 hours
-- AND --
clindamycin : children: 10-25 mg/kg/day intravenously/intramuscularly given in divided doses every 6-8 hours; adults: 300 mg intravenously every 6 hours
or
metronidazole : children: 30 mg/kg/day intravenously given in divided doses every 6-8 hours; adults: 500 mg intravenously every 6-8 hours