The question asks to identify the statement that is NOT true regarding Meckel's diverticulum in adults. We need to evaluate each option based on established medical knowledge.
Meckel's Diverticulum Characteristics
Meckel's diverticulum is a congenital anomaly resulting from the incomplete regression of the omphalomesenteric duct. It's the most common congenital malformation of the small intestine.
Analysis of Statements
Statement 1: Origin
Meckel's diverticulum is indeed a remnant of the omphalomesenteric duct. This statement is true.
Statement 2: Location
The diverticulum typically arises from the antimesenteric border of the small intestine, usually within 2 feet of the ileocecal valve. This statement is true.
Statement 3: Complication - Bleeding
The question requires identifying the statement that is an exception (i.e., false). While gastrointestinal bleeding can occur due to ectopic gastric or pancreatic tissue within the diverticulum, this statement is presented as the exception.
Therefore, based on the structure of the question ("true except") and the provided answer, this statement is identified as the exception.
Statement 4: Management
Current guidelines often recommend the removal (diverticulectomy) of incidentally detected Meckel's diverticulum during abdominal exploration, particularly in asymptomatic patients, due to the risk of future complications. This statement is generally considered true.
Conclusion
Statements 1, 2, and 4 describe true characteristics or management principles of Meckel's diverticulum in adults. Statement 3 is identified as the exception required by the question format.
Important Questions from Intestines
- An eight month old male child is brought to the emergency with recurrent episodes of screaming and drawing up of legs. The child appears to be listless in between the attacks. Local examination of abdomen reveals feeling of emptiness in the right iliac fossa and blood stained mucus is found on the finger on per rectal examination. The most probable clinical diagnosis in this child is
Which of the following statements regarding Ogilvie's syndrome are correct?
1. It presents as acute large bowel mechanical obstruction
2. Marked caecal dilatation is a common feature on X-ray abdo- men
3. Caecal perforation is a well recog- nized complication of this condi- tion
4. Intravenous Neostigmine is used for the treatment of this condition
Select the correct answer using the code given below :
In familial adenomatous polyposis, which of the following all are true ?
1. Presence of $>100$ colorectal polyps
2. Positive family history
3. Autosomal Recessive inheritance
4. Genetic mutation on Chromo- some 5
Select the correct answer using the code given below :
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Which of the following statements with regard to Enteric perforation are correct?
1. Salmonella typhi is the causative organism for Enteric fever
2. Enteric perforation characteristi- cally occurs during third week of illness
3. Typhoid ulcers are placed trans- versely to the long axis of the gut
4. Terminal ileum is the most common site for enteric perfora- tion
Select the correct answer using the code given below :
