Incidental Persistent Omphalomesenteric (vitelline) Artery during Laparoscopic Appendectomy in an Adult

Abstract

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Vitelline vascular remnant causing intestinal obstruction in a patient with TARP syndrome

“…A VVR occurs when there is abnormal persistence of either vitelline artery, the right or the left (Kawami et al, 2021). Twenty‐six cases of definitive VVRs have previously been reported in the literature (Bairwa, 2020; Date et al, 2018; Hurni et al, 2017; Jalil et al, 2012; Kawami et al, 2021; Lassen et al, 1994; Lemke & Biedermann, 2021; Loh et al, 2007; Manning Jr. & McLaughlin, 1947; Scouler Buchanan & Wapshaw, 1940; Syres et al, 2013; Vane et al, 1987; Yoo et al, 2003). Of these cases, 15 presented in infancy.…”

“…Given the propensity for VVR‐associated complications, as described in our proband, and listed in prior cases above, surgeons have recommended resection of these structures both for diagnosis and for treatment of the resulting gastrointestinal symptoms. Further, they have additionally recommended prophylactic resection of VVR when found incidentally to prevent future problems (Date et al, 2018; Jalil et al, 2012; Kawami et al, 2021; Lassen et al, 1994; Syres et al, 2013).…”