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.
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.(more…)
Q ) A 59 year old male alcoholic male presents with history of upper GI bleed of 1 day duration. During the day he has had three episodes of bleeding each time about 150 ml. Blood is fresh and not associated with retching. He has a history of long standing alcohol intake. What will be the most likely cause of GI bleed
a) Mallory weiss tear
b) Esophageal varices
c) Gastric ulcer
Long standing alcohol intake means some stigma of liver disease leading to chronic liver disease and consequently esophageal varices.
Mallory Weiss tear occurs with retching and after episodes of binge drinking
Gastric and duodenal ulcers are related to alcohol but usually presents at 40 years
Esophagitis will have associated symptoms of GERD and long standing history