Meckel’s diverticulum is remnant of
## **Core Concept**
Meckel's diverticulum is a congenital diverticulum that arises from the incomplete closure of a specific embryonic structure during fetal development. It is a remnant of the **vitelline duct (or omphalomesenteric duct)**, which connects the midgut to the yolk sac.
## **Why the Correct Answer is Right**
The correct answer, **vitelline duct**, is right because Meckel's diverticulum forms when the vitelline duct fails to close completely during embryonic development, around the 5th to 7th week of gestation. This duct usually obliterates and disappears, but if it remains patent, it can give rise to a Meckel's diverticulum. This diverticulum is a true diverticulum, containing all layers of the intestinal wall, and is located on the antimesenteric border of the ileum.
## **Why Each Wrong Option is Incorrect**
- **Option A:** The **allantois** is an embryonic structure related to the development of the urinary bladder and is not directly associated with the formation of Meckel's diverticulum.
- **Option B:** The **urachus** is another embryonic structure that connects the bladder to the umbilicus and is not related to the formation of Meckel's diverticulum.
- **Option D:** The **dorsal mesentery** is involved in the formation of the mesenteries of the gastrointestinal tract but is not directly related to the development of Meckel's diverticulum.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that Meckel's diverticulum can cause gastrointestinal bleeding, obstruction, or inflammation. It is often referred to as the "**rule of twos**": it occurs in about 2% of the population, is usually located within 2 feet of the ileocecal junction, and can cause symptoms in about 2% of affected individuals. A classic exam trap is to consider it in the differential diagnosis of abdominal pain or gastrointestinal bleeding in children and young adults.
## **Correct Answer:** C. vitelline duct