Outpouching in the lower part of the small intestine

Aetiology

• Congenital defect - remnant of omphalomesenteric duct
• Higher prevalence in males

Clinical features

• Majority are asymptomatic - common incidental finding at laparotomy
• Presentations are the result of complications
• Haemorrhage accounts for 25-50% of all complications
  • More common in children < 2 years
  • Bright red blood in stools, painless
• Classical presentation in adults includes intestinal obstruction and inflammation of the diverticulum
  • Can mimic appendicitis
• May also present due to ulceration or malignant change

Investigations

• Dictated by the type of complication

Management

• If causing complications - resection