Year 2025 / Volume 117 / Number 12
Letter
The “rule of two” in Meckel’s diverticulum - Does it truly apply to the pediatric population in our area?

787

DOI: 10.17235/reed.2024.10798/2024

Julio César Moreno-Alfonso, Sara Hernández Martín, Ada Molina Caballero, Alberto Pérez Martínez, María Concepción Yárnoz Irazábal,

Abstract
Meckel's diverticulum (MD) originates from the incomplete obliteration of the omphalomesenteric duct during the seventh week of gestation. The classic clinical description of MD follows the "rule of two: 2% of the population, 2 inches in length, 2 feet from the ileocecal valve, a 2:1 ratio between males and females, and presentation at two years of age. This study evaluates to what extent the "rule of two" applies to a Spanish pediatric cohort.
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References
1. Moreno-Alfonso JC, Ayuso González L, Hernández Martín S, Arredondo Montero J, Ros Briones R, Pérez Martínez A. Urachal remnant and acute abdomen: when it's not what it seems. An Sist Sanit Navar. 2022;45(3):e1026. DOI: 10.23938/ASSN.1026.
2. Spangler H, Fisher J. The rule of two's didn't work: Meckel's diverticulum with hemorrhagic shock in an adolescent. Am J Emerg Med. 2020;38(7):1541.e1-1541.e2. DOI: 10.1016/j.ajem.2020.03.034
3. Kuru S, Kismet K. Meckel's diverticulum: clinical features, diagnosis and management. Rev Esp Enferm Dig. 2018;110(11):726-32. DOI: 10.17235/reed.2018.5628/2018
4. Keese D, Rolle U, Gfroerer S, Fiegel H. Symptomatic Meckel's Diverticulum in Pediatric Patients-Case Reports and Systematic Review of the Literature. Front Pediatr. 2019;7:267. DOI: 10.3389/fped.2019.00267
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Moreno-Alfonso J, Hernández Martín S, Molina Caballero A, Pérez Martínez A, Yárnoz Irazábal M. The “rule of two” in Meckel’s diverticulum - Does it truly apply to the pediatric population in our area?. 10798/2024


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Publication history

Received: 14/09/2024

Accepted: 17/09/2024

Online First: 04/10/2024

Published: 12/12/2025

Article Online First time: 20 days

Article editing time: 454 days


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