This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Intestinal Obstruction, Subject name: Surgery
Ileal obstruction due to round worm obstruction treatment is - 
Select and explain. 
A. Resection with end to end anastomosis, B. Resection with side to side anastomosis, C. Enterotomy, removal of worms and primary closure, D. Diversion
C: Enterotomy, removal of worms and primary closure
Answer: C: Enterotomy, removal of worms and primary closure 
Explanation: Ans. is 'c' i.e., Enterotomy, removal of worms and primary closure o Resection of small bowel is done when the affected bowel segment is of questionable viability,o Diversion is the first step in case of colonic obstruction, followed by resection and anastomosis of affected segment and then closure of diversion colostomy at a later date.o Intestinal luminal obstmciion such as due to Bezoars or fecoliths of worm iniestations are dealt with by enterotomy and removal followed by primary closure.