Thursday, 24 March 2022

MCQ --COLON

 

Q.All true regarding colon except

a.in supione postion , transverse and sigmoid colon usually contain greatest amount of gas

b.calibre of colon varies from 3 to 6 cm

c.caecum has the greatest diameter in colon  

d.rupture of sigmoid colon diverticula usually results in free intraperitonal air

e.persistent caecal diameter of 9 to 10 cm or more  indicate of  risk of impending perforation

ANS.d

Rupture of sigmoid colon diverticula usually results in development of retroperitoneal gas  because sigmoid diverticula are frequently oriented toward the sigmoid mesentry .

The sigmoid colon and transverse colon are intraperitoneal structures suspended by the sigmoid mesentry and transverse mesocolon respectively .Ascending colon and descending colon and rectum are fixed retroperitoneal structures .

On upright abdominal radiograph ,air-fluid levels in the bowel are often interpreted as sign of obstruction

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