Anatomy · Embryology (General, Pharyngeal Arches, GUT, CNS, Cardiovascular)

Meckel's diverticulum is a remnant of the vitello-intestinal (omphalomesenteric) duct. Which of the following statements about its anatomy is MOST accurate for NEET PG?

  • A Located on the mesenteric border of ileum, 2 feet from ileocecal valve
  • B Derived from the allantois and contains transitional epithelium
  • C Found equally on both borders of the jejunum
  • D Located on the antimesenteric border of the ileum, 2 feet from the ileocecal valve, found in 2% of population with 2% symptomatic, contains 2 types of heterotopic mucosa (gastric and pancreatic)
Correct answer: D. Located on the antimesenteric border of the ileum, 2 feet from the ileocecal valve, found in 2% of population with 2% symptomatic, contains 2 types of heterotopic mucosa (gastric and pancreatic)

Explanation

Meckel's diverticulum is a true diverticulum (all layers of bowel wall) located on the antimesenteric border of the ileum. The 'Rule of 2s': 2% prevalence, 2 feet (60 cm) from the ileocecal valve, 2 inches long, 2:1 male predominance, presents in first 2 years of life, contains 2 types of ectopic tissue (most commonly gastric mucosa — causing painless rectal bleeding, and pancreatic tissue). It is derived from the vitello-intestinal duct, not the allantois (which forms the urachal remnant/urachus).

Reference: BD Chaurasia's Human Anatomy, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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