Vitello intestine duct anomalies

Vitello intestine duct anomalies

1. Vitello -Intestine duct anomalies NAWIN KUMAR 26-06-2014

2. Vitello -Intestinal Duct Syn. Omphalomesenteric duct Embryonic vitelline duct normaly gets obliterated by 5 th -9 th week of IU life

3. Vitello intestinal duct anomalies Vitello -intestinal cord Persistent fistula Sinus Cyst Meckel’s diverticulum

4. Meckel’s diverticulum Most common congenital anomaly of small-intestine In 2% population Rule of “2” Wide mouth / narrow mouth Pluripotent cells / ectopic epithelium

5. Clinical presentation Asymtomatic Haemorrhage – 25 to 50% Intestinal obstruction Diverticulitis

6. Haemorrhage from Meckel’s diverticulum Patterns Acute massive haemorrhage Chronic bleeding, anaemia Recurrent self-limiting bleed Cause

7. Intestinal obstruction Volvulus Intussusception Hernia

8. Meckel’s diverticulitis Neoplasms in Meckel’s diverticulum

9. Investigations for Meckel’s diverticulum USG CT 99m Tc scan Sensitivity of 85% Specificity of 95%

10. Treatment Symptomatic Meckel’s diverticulum Resection with adjacent ileum Asymptomatic M eckel’s diverticulum Resection vs leaving alone