A Rare Case Presentation of a Symptomatic Omphalomesenteric Cyst in an Adult, 24-Year-Old Patient, Treated with Laparoscopic Resection

Annaberdyev, Shohrat; Capizzani, Tony; Plesec, Thomas; Moorman, Matthew

doi:10.1007/s11605-013-2207-4

Cited by 12 publications

(10 citation statements)

References 6 publications

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“…Most malformation associated with the OER present as a Meckel diverticulum [1]. A persistent OER is much less frequent and in adults extremely rare with small bowel obstruction, gastrointestinal bleed, abdominal pain, umbilical hernia, and chronic umbilical drainage being presenting symptoms [7][8][9]. Computed tomography scan should detect the OER but as in our case it may be difficult to distinguish from a urachus cyst especially in the presence of postinfectious changes.…”

Section: Discussionmentioning

confidence: 80%

Abdominal Wall Phlegmone Associated with an Omphalomesenteric Remnant in an Adult Male: Laparoscopic Repair

BonattiHugo

RunzChris

2017

Surgical Infections Case Reports

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Background: Persistent omphalomesenteric remnants are diagnosed most commonly in childhood. The condition is rare in adults with only a few cases of laparoscopic management reported thus far. Case Presentation: A 32-year-old male underwent open umbilical hernia repair without mesh at an outside hospital. He developed an abdominal wall phlegmone followed by a chronic umbilical infection. Computed tomography (CT) scan showed a tubular structure at the inner surface of the abdominal wall suggestive of a urachus cyst. During laparoscopy, the tubular structure was found to have no relation to the bladder but instead could be followed toward the small bowel originating 100 cm proximal to the terminal ileum. The chronic infected umbilical fistula was resected, and at the origin the duct was excised longitudinally and the enterotomy was closed transversely. The patient developed a superficial surgical site infection but ultimately did well. Discussion: Surgeons should be aware of this rare condition as a cause of chronic umbilical infection. The omphalomesenteric remnant is suitable for laparoscopic repair.

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Section: Discussionmentioning

confidence: 80%

Abdominal Wall Phlegmone Associated with an Omphalomesenteric Remnant in an Adult Male: Laparoscopic Repair

BonattiHugo

RunzChris

2017

Surgical Infections Case Reports

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“…11 Laparoscopic surgical approach can be preferred. 8,12 In conclusion, obstruction secondary to OMD cyst is rare cause of small bowel obstruction with very few cases reported in the literature. Although preoperative diagnosis is different, it can be remembered in patients with no previous history of surgery.…”

Section: Discussionmentioning

confidence: 91%

“…1 The most commonly reported symptoms include gastrointestinal obstruction (13-36%), abdominal pain (31%), and rectal bleeding (5-22%). 8,9 In adults, obstruction is unusual. Obstruction can come out with different mechanisms.…”

Section: Discussionmentioning

confidence: 99%

Intestinal Obstruction Due to Omphalomesenteric Duct Cyst in an Adult Patient: Case Report

Mayır¹,

Koç²,

Doğan³

et al. 2015

Turkiye Klinikleri J Case Rep

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“…A 49-year-old female patient with an omphalomesenteric duct cyst (20 x 60 mm) abscess was treated with open surgery (2). A 24-year-old male patient with abdominal pain was treated with a totally laparoscopic approach for a 20 x 45 x 75-mmsized omphalomesenteric cyst (1). A 29-year-old male with a 50 x 80 x 100-mm-sized omphalomesenteric cyst was treated laparoscopically, and the cyst was removed through a 5-cm abdominal incision (5).…”

Section: Discussionmentioning

confidence: 99%

Extremely rare presentation of an omphalomesenteric cyst in a 61-year-old patient

et al. 2017

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The umbilicus is remaining scar tissue from the umbilical cord in the fetus. If the omphalomesenteric duct in the umbilicus is not properly closed, an ileal-umbilical fistula, sinus formation, cysts, or, most commonly, Meckel's diverticulum can develop. The others are very rare and mostly occur in the pediatric population. We describe herein a 61-year-old female with a giant omphalomesenteric cyst presented as an asymptomatic infraumbilical mass. To our knowledge, this is the oldest patient reported and the largest cyst described in the literature. The diagnosis of a painless abdominal mass frequently suggests malignancy in older patients. But, extremely rare conditions can be detected, such as an omphalomesenteric cyst.

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A Rare Case Presentation of a Symptomatic Omphalomesenteric Cyst in an Adult, 24-Year-Old Patient, Treated with Laparoscopic Resection

Cited by 12 publications

References 6 publications

Abdominal Wall Phlegmone Associated with an Omphalomesenteric Remnant in an Adult Male: Laparoscopic Repair

Abdominal Wall Phlegmone Associated with an Omphalomesenteric Remnant in an Adult Male: Laparoscopic Repair

Intestinal Obstruction Due to Omphalomesenteric Duct Cyst in an Adult Patient: Case Report

Extremely rare presentation of an omphalomesenteric cyst in a 61-year-old patient

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