Abstract
Introduction
Patent vitello-intestinal duct is an unusual congenital disease, occurs in about 2% of the population1, which may lead to small intestinal obstruction and other complications, like abdominal pain, intestinal haemorrhage and umbilical sinus, fistula or hernia which commonly occurs in children2, it is rare in adults3. It is generally a disease of embryonic yolk stalk. Lining of patent vitello-intestinal duct usually contain intestinal epithelium but may contain heterotropic gastric mucosa4. Small bowel obstruction is a major cause lead to mortality and morbidity in patients5. We have reported an extremely rare case of recanalization of multiple obliterated vitello-intestinal duct after small bowel obstruction in an adult patient who presented to our side as a case of umblical discharge.
References
- Sawada, R. Yoshimura, K. Ito, K. Nakamura, H. Nawata, K. Mizumoto, et al., Adult case of an omphalomesenteric cyst resected by laparoscopic-assisted surgery, World J. Gastroenterol. 12 (5) (2006) 825.
- W. Vane, K.W. West, J.L. Grosfeld, Vitelline duct anomalies: experience with 217 childhood cases, Arch. Surg. 122 (5) (1987) 542–547.
- Markogiannakis, D. Theodorou, K.G. Toutouzas, P. Drimousis, S.G. Panouss-opoulos, S. Katsaragakis, Persistent omphalomesenteric duct causing small bowel obstruction in an adult, World J. Gastroenterol. 13 (15) (2007) 2258.
- Johnson, L.B., Renner ,G., Jr. Peptic ulcer of Meckel’s diverticulum: A report of two cases and a review of literature. Surg., Gynec. & obst.59: 198, 1934.
- Miller, J. Boman, I. Shrier, P.H. Gordon, Natural history of patients with adhesive small bowel obstruction, Br. J. Surg. 87 (9) (2000) 1240–1247.
- McEntee, D. Pender, D. Mulvin, M. McCullough, S. Naeeder, S. Farah, et al., Current spectrum of intestinal obstruction, Br. J. Surg. 74 (11) (1987) 976–980.
- Yamada T, Seiki Y, Ueda M et al. Patent Omphalomesenteric Duct; A Case Report and Review of Japanese Literature. Asia Oceania Journal of Obstetrics & Gynaecology. 1989; 15:229-236.
- L. Dames, E.S.M. Hamouda, Radiologic Imaging in Meckel Diverticulum Complications, J. Med. Ultrasound. 23 (3) (2015) 133–141.
- J. Bueno, S.A. Serralta, R.M. Planeéis, G.F.Dobón,P.F.Ibán ̃ez,R.R.Rodero, Intestinal obstruction caused by omphalomesenteric duct remnant: usefulness of laparoscopy, Rev. Espanola Enfermedades Dig. Organ. Soc. Espanola Patol Dig. 95 (10) (2003) 736–738.
- M. Lassen, M.J. Harris, W.S. Kearse Jr., L.R. Argueso, Laparoscopic management of incidentally noted omphalomesenteric duct remnant, J. Endourol. 8 (1) (1994) 49–51.
Corresponding Author
Pankaj Kumar Kannaujiya
Add. – Room No. 302, Resident Hostel, KGMU, Lucknow, UP, India
Phone No.– 7054111162, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.15
