A 30-year-old man arrives to the emergency department complaining of acute abdominal discomfort. The patient's discomfort began yesterday and has been progressively severe. He has also acquired bilious emesis in the previous several hours. The patient has never had surgery before. The temperature is 37.8 degrees Celsius (100 degrees Fahrenheit), and the pulse rate is 110 beats per minute. During palpation, there is broad abdominal soreness with guarding. Abdominal imaging demonstrates thickening of the gut wall within a blind pouch attached to the ileum. A laparotomy is carried out. During the surgery, a fibrous band is visible connecting the pouch's end to the umbilicus. Which of the following is most likely used to make the pouch's walls?

Question

Quizplus · Accepted Answer

Eductional Objective: Meckel diverticulum is an anatomic link between the ileum and umbilicus caused by partial obliteration of the vitelline duct. It typically causes mild hematochezia but can present with severe abdominal discomfort if inflamed (eg, diverticulitis). This is a real diverticulum, comprised of all three layers of the intestinal wall (mucosa, submucosa, and muscularis).

A 30-Year-Old Man Arrives to the Emergency Department Complaining of Acute