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    Bleeding During Catheterization of Male Urethra I was called at 10.30 PM to attend a case of bleeding from urethra following urethral catheterization in a semiconscious male, admitted to the medicine ward. I went and saw a healthy male in sixties bleeding from urethra. The foley's catheter, a narrow silicon tube used for draining the retained urine was […]
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Archive for the 'Peptic ulcer' Category

Acid Peptic Disease in Mackel's Diverticulum

Posted by Dr.Prahallad Panda on 28th August 2009

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Acid peptic disease commonly affects stomach,duodenum and/or lower esophagus .An uncommon site is Mackel’s Diverticulum. There may be the presence of ectopic stomach mucosa to cause the symptoms.Here there is  the same pathology to cause ulcer or inflammation.

Mackel’s diverticulum is an out pouching of intestine in it’s lower end.It is of short length and is blind.The pain here may not have a time relation to food or periodicity.Sometimes it causes perforation.Pain is felt little to the right side of umbilicus .May confuse with an appendicitis or a stone in the  right ureter.

It is difficult to diagnose.An ultrasonogram ,CT or barium meal follow through may help in diagnosis.Now-a-days a capsule endoscopy will accuratey diagnoses it.Nuclear imaging may help in diagnosing Mackel’s diverticulitis. Many a times when a normal looking appendix is found in a surgery for appendicitis a Mackel’s diverticulum is searched for.

Treatment is only surgery and is very effective.

Posted in Peptic ulcer | 2 Comments »