Meckels Diverticulum and Strictures

Question 1

Strictures are present in

Answer 1

Tuberculosis
Crohn

Question 2

Thyphiod vs TB ulcer

Answer 2

Typhoid -
longitudnal
Perforation (2-3 weeks)

Tuberculosis-
Transverse ulcer
Heals and gives rise to strictures

Question 3

CF in stricture

Answer 3

Obstruction
Multiple episodes of subacute obstruction
One acute obstruction

Question 4

IOC in strictures

Answer 4

CECT

Question 5

Strictures are near (near 1and half)

Answer 5

Resection and anastamosis

Question 6

Strictures far apart

Answer 6

Stricturoplasty –

Heinke mickulickz
Finney

Question 7

Why is meckels diverticulum called true diverticulum

Answer 7

All layers of bowel is present

Question 8

Mickels diverticulum is a remnant of

Answer 8

Vitello intestinal duct (anti mesentric border)

Question 9

Rule of 2 in MD

Answer 9

2% population
2 inches long
2 ft from ileocaecal junction (proximal)
20% have heteroyopic/ectopic mucosa

Question 10

Most common ectopic mucosa in MF

Answer 10

Gastric mucosa (bleed)

Pancreatic

Question 11

Presentation of MD

Answer 11

Asymptomatic/incidentally

Question 12

You incidentally find a meckels diverticulum during a surgery what are you gonna do

Answer 12

LEAVE IT
Wide mouth and wide base

DIVERTICULECTOMY
narrow mouth and narrow base

Question 13

You are doing surgery for appencisectomy and you find a normal appendix

Answer 13

Search for last 2 feet of ileum for meckels diverticulum

Question 14

Management of perforated diverticulum

Answer 14

Resection and anastamose

Question 15

Meckels diverticulum being a part of hernial sac

Answer 15

LITTERS HERNIA

Question 16

How MD makes bowel obstruction

Answer 16

Provides lead point to intususseption
Volvulus by band adhesion