Department of Surgery Jars

08- Meckel's Diverticulum


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Description Meckel's Diverticulum
Author Department of Surgery
Copyright Cairo University - Faculty of Medicine

Description
This is a jar that contains a segment of small intestine with a 6cm diverticulum at its anti-mesenteric border. There is no external evidence of inflammation or perforation.

Diagnosis

Meckel's diverticulum

Common questions that you may be asked
Q: How did you know that this is a segment of the small intestine?

Q. What is the embryological origin of Meckel's diverticulum?
Q: Is this a true or false diverticulum ? and why?

Q. What is the commonest complication of Meckel's diverticulum?

A. Bleeding. It is more frequent in children. It arises from peptic ulceration that is caused by the presence of heterotopic gastric epithelium at its base.

Q. What are the other possible complications?

Q. Can this be an operative specimen, and why?

A. Yes, this can be an operative specimen because the treatment, particularly of complicated cases, is to excise the diverticulul. If it has a broad base and/or palpable thickening at its base (heterotopic epithelium) the adjacent part of ileum is excised.
 

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