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Surgery G.I.T 1dc70b77

Snow storm ascites is seen in

A
Meconium ileus
B
Hirschsprung disease
C
Ileocaecal tuberculosis
D
Pseudomyxoma peritonei
High-Yield Explanation
.meconium is neonatal manifestation of fibrocystic disease of the pancreas, wherein thick meconium which is viscid and paste like, gets collected in the terminal ileum. Because of inspissation it forms a firm bolus leading to obstruction of the ileum Meconium ileus- * Commonly associated with cystic disease of pancreas but not necessarily always * Respiratory dysfunction * Exocrine pancreatic insufficiency * High salt in the sweat > 90 mmol/L * Ileal obstruction * Soap bubble appearance in X-ray * Gelatin in X-ray film will not get digested by patient's vomitus * Bishop-Koop operation, ileostomy, dissolving ileal meconium pellets are required. ref:SRB&;s manual of surgery,ed 3,pg no 862

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