Congenital Vitelline Band Causing Intestinal Obstruction in an Adult with a Double Inferior Vena Cava

Abstract

Introduction. Vitelline artery remnants are rare causes of intra-abdominal bands leading to bowel obstruction. These bands may be associated with Meckel's diverticulum. Double inferior vena cava (IVC) is a rare presentation and is usually identified incidentally. Case Presentation. A sixty-year-old male presented with progressive vomiting for five days and he was clinically diagnosed with intestinal obstruction. Plain X-ray abdomen showed evidence of small bowel obstruction. CT scan of the abdomen revealed dilated small bowel loops with a small outpouching in the distal ileum with a band like structure attached to it. In the CT, left sided patent IVC draining into the left renal vein was identified. Left external iliac vein was in continuity with the left IVC. Left internal iliac vein was draining into the right IVC. Exploratory laparotomy revealed a Meckel's diverticulum with a band identified as the vitelline remnant attached to its apex and inserting at the anterior abdominal wall near the umbilicus. Discussion. Meckel's diverticulum with vitelline bands, although rare, should be borne in mind in adult patients with intestinal obstruction. Identification of this anomaly can be difficult in imaging studies. Presence of double IVC should be mentioned in the imaging findings to prevent possible catastrophic complications during surgery.

Concurrent omphalomesenteric duct cyst and ileal diverticulum causing small bowel obstruction; a case report

“…Failure of obliteration of OMD may result in various anomalies, with Meckel's diverticulum being the most common. Other less common abnormalities include OMD cysts, fistula and fibrous band between the ileum and umbilicus [1] , [2] .…”

Intraabdominālu saaugumu veidošanās un norises kompleksie morfopatoģenētiskie aspekti bērniem līdz gada vecumam. Promocijas darbs

“…Piemēram, dzeltenuma eja, kas savieno embrionālo viduszarnu ar dzeltenuma maisu, 6. embrionālās attīstības nedēļā sāk slēgties. Dzeltenuma ejas nepilnīgu regresiju saista ar saaugumu attīstību, jo veidojas saites starp līkumainās zarnas (ileum) distālo daļu un nabas apvidu (Sun C. et al, 2012;Wettasinghe et al, 2016). Bez iepriekšminētā arī viduszarnas rotācijas traucējumi embrionālās attīstības laikā var radīt visdažādāko zarnu cilpu novietojumu un fiksāciju (Soffers et al, 2015).…”