Meckel’s diverticulum | PGIMER Frequently Asked Medical PG topics

Meckel’s diverticulum, true are A/E: 

a. Has three layers with artery 
b. Heterotopic epithelium in 50-60% cases 
c. Always gastric epithelium 
d. May present with hemorrhage 
e. When accidentally seen in laparotomy always resected.

Ans (B) Heterotopic epithelium in5D 60% cases, (C) Always gastric epithelium, (E) When accidentally seen in laparotomy always resected.

* Meckel’s diverticulum occurs in 2% of population, 2 inches in length & are situated 2 feet (60cm) from the ileocaecal valve. It possess all the three coats of the intestinal wall & has its own blood supply.

* It is almost always lined by small intestinal type of epithelium but in 20% of cases the mucosa contains heterotopic epithelium namely gastric colonic or sometimes pancreatic tissue

* It should be sought when a normal appendix is found at surgery for suspected appendicitis

* If a silent meckel’s is found incidentally—during the course of an operation it may be left as it is.