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

Meckel's diverticulum represents a persistent remnant of the vitello-intestinal (omphalomesenteric) duct. It is located on the anti-mesenteric border of the ileum at what distance from the ileocaecal valve?

  • A 2 feet (approximately 60 cm)
  • B 5 cm
  • C 5 feet (approximately 150 cm)
  • D 12 cm
Correct answer: A. 2 feet (approximately 60 cm)

Explanation

Meckel's diverticulum follows the 'rule of 2s': 2% of the population, 2 feet (approximately 60 cm) from the ileocaecal valve, 2 inches long, 2 times more common in males, may contain 2 types of ectopic mucosa (gastric most common, pancreatic also). It is a true diverticulum (contains all bowel wall layers) on the anti-mesenteric border. Gastric ectopic mucosa secretes acid, causing peptic ulceration and painless rectal bleeding — particularly in children. A Meckel's scan (technetium-99m pertechnetate) detects ectopic gastric mucosa.

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

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