Concomitant segmental intestinal dilatation and omphalocele

Hernia of Umbilical Cord with Segmental Dilatation of Ileum: Cause or Effect?

“…Of the 16 previous reports of SDI associated with omphalocele minor, 14 were present in neonates [6,7]. One was diagnosed with obstruction 1 year after omphalocele surgery and another, 8 years after surgery.…”

Segmental dilatation of ileum in a young patient presenting with anemia

“…[ 2 ] They also proposed the following criteria for diagnosing this entity: (1) limited dilatation of bowel with threefold or fourfold increased size; (2) sharp conversion between dilated and normal intestine without an obvious obstruction; (3) the presence of normal neuronal plexus in submucosa and muscularispropria; (4) clinical presentation of obstruction or sub-obstruction; and (5) recovery after resection of the dilated segment. [ 3 4 ]…”

“…A high proportion of these cases are reported to have other GI tract anomalies including omphalocele, malrotation, and Meckel's diverticulum. [ 1 2 3 4 6 7 ] A case of SDI with anterior thoracolumbar meningocoele and bilateral undescended testes has also been described in literature. [ 7 ] In this report, the patient had vague abdominal pain with asymptomatic anemia, without any associated GI anomalies.…”

“…Other differentials may include aneurysmal dilatation in lymphoma or cavitating neoplasms, but CT usually suffices in ruling out these causes. [ 3 6 8 ] CT enteroclysis is reported to be even more sensitive in diagnosing this lesion accurately by achieving adequate distension of bowel. [ 6 ]…”

Abdominal wall defects: omphalocele and gastrschisis

“…Prune-belly sendromu, (22) İnferior vena kava anomalisi, (23) segmental ileal dilatasyon, (24) familiyal Robinow sendromunu (facial dismorfizm ve karın duvarı defektleri birlikteliği), (25) ve yüksek tip ARM, (26) omfaloselle görülen diğer anomalilerdir. İlginç olarak omfalosel ile birlikte üzeri deri ile örtülü bir gastroşi-zis olgusu da bildirilmiştir (27) .…”