Complications of duodenal diverticulum

Q) True statement regarding complications of duodenal diverticulum is

a) Perforation is the commonest complication

b) Obstruction is caused by extra luminal duodenal diverticulum

c) Bleeding is the most common complication of duodenal diverticulum.

d) Diverticulitis is common and easily diagnosed.

Answer

c

Complications of duodenal diverticulum are rare with a reported incidence of 5-10% in those with duodenal  diverticulum. Operative intervention is required in about 1% cases

Perforation is the rarest but the most severe complication of duodenum diverticulum. The most common cause of perforated duodenal diverticulum is diverticulitis. They perforate in the retroperitoneum, adding to diagnostic uncertainty. Ct Scans are most diagnostic to help in this diagnosis.

Obstruction is commonly caused by intraluminal  duodenal diverticulum. It can also become obstructed by gall stones or undigested foreign particles.

Bleeding is the commonest complication of duodenal diverticulum and present as haematemesis or melena. Diagnosis and treatment is by endoscopy.

Duodenal diverticulitis is uncommonly diagnosed because of its site and diagnostic confusion with cholecystitis, pancreatitis and other upper GI causes.

Bowel preparation before colon surgery

Q) What is true about bowel preparation before colon surgery in an elective case?

a) Bowel preparation should be done in every case

b) Bowel preparation should be done in all emergency situations like perforation and obstruction to attempt primary repair.

c) Mechanical purging one day before surgery and at leat 3 days of administration of non absorbable oral antibiotic should be given in all patients before elective colon resection

d) Bowel preparation at most centers is based on surgeons's discretion but reports have not shown any proven benefits.

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Median arcuate syndrome

Q) Median arcuate syndrome is due to compression of 

a) Coeliac artery

b) Superior mesenteric artery

c) Phrenic artery

d) Inferior mesenteric artery

Free Answer for MCH GI Surgery Questions

A) a

Median arcuate syndrome is also known as coeliac artery compression syndrome. Median arcuate

ligament connects the diaphragm with the spine. In some individuals this median arcuate compresses the coeliac artery and produes abdominal pain. Read More ...