A 2-year-old boy is brought by his parents to the urgent care clinic because of bright red blood coming for the child’s anus. He also had been complaining of abdominal pain. Physical examination reveals mucosal pallor and generalized abdominal tenderness. A technetium-99m pertechnetate scintiscan is performed followed by a laparotomy is then performed. Surgical findings include a blind pouch connected to the ileum, with a fibrous band seen attaching the end of the pouch to the umbilicus. Which of the following is the most likely composition of the walls of this pouch? A. Fibrous tissue B. Granulation tissue and peritoneum C. Mucosa and submucosa layers D. Omentum and adipose tissue E. Mucosa, submucosa, and muscular layers
A 2-year-old boy is brought by his parents to the urgent care clinic because of bright red
blood coming for the child’s anus. He also had been complaining of abdominal pain.
Physical examination reveals mucosal pallor and generalized abdominal tenderness. A
technetium-99m pertechnetate scintiscan is performed followed by a laparotomy is then
performed. Surgical findings include a blind pouch connected to the ileum, with a fibrous
band seen attaching the end of the pouch to the umbilicus. Which of the following is the
most likely composition of the walls of this pouch?
A. Fibrous tissue
B. Granulation tissue and peritoneum
C. Mucosa and submucosa layers
D. Omentum and adipose tissue
E. Mucosa, submucosa, and muscular layers
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