Difference between revisions of "Small intestine"

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==Meckel diverticulum==
==Meckel diverticulum==
===General===
{{Main|Meckel diverticulum}}
*Most common congenital anomaly of the gastrointestinal tract.<ref name=pmid15026601>{{Cite journal  | last1 = Levy | first1 = AD. | last2 = Hobbs | first2 = CM. | title = From the archives of the AFIP. Meckel diverticulum: radiologic features with pathologic Correlation. | journal = Radiographics | volume = 24 | issue = 2 | pages = 565-87 | month =  | year =  | doi = 10.1148/rg.242035187 | PMID = 15026601 }}</ref>
**Remnant of the ''omphalomesenteric duct'' - a connection of the yolk sac and midgut.
 
The rule of 2s:
*2 feet from the terminal ileum
*2% of the population
*2% symptomatic.
*2 inches long.
*2 year old.
*2 types of epithelium - gastric and pancreatic.
 
Main clinical DDx of a symptomatic Meckel diverticulum:
*[[Appendicitis]].
 
===Gross===
*Antimesenteric attachement, i.e. a ''Meckel's diverticulum'' hangs off the side opposite of the mesentery.
 
Image:
*[http://commons.wikimedia.org/wiki/File:Meckel%27s_Diverticulum_AFIP.jpg Meckel diverticulum - (AFIP/WC)].
 
===Microscopic===
Features:<ref name=pmid15026601/>
*Small bowel mucosa.
*+/-Gastric mucosa:
**Foveolar epithelium: champagne flute-like columnar epithelium.
**Oxyntic mucosa: parietal cells (pink) and chief cells (purple).
*+/-Pancreatic epithelium:
**Pancreatic acini.
 
Images:
*[http://radiographics.rsna.org/content/24/2/565/F12.expansion.html Gastric foveolar epithelium in a MD (radiographics.rsna.org)].
*[http://radiographics.rsna.org/content/24/2/565/F15.expansion.html Gastric glands in a MD (radiographics.rsna.org)].
*[http://radiographics.rsna.org/content/24/2/565.long Pancreatic glands in a MD (radiographics.rsna.org)].


==Ischemic enteritis==
==Ischemic enteritis==
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