Omphalomesenteric Duct Anomalies in Children: A Multimodality Overview

Meckel’s diverticulitis with abscess presentation in an acute abdomen

“…In urachal anomalies, there will communication or connection with lumen of urinary bladder and absence of gut signature and peristalsis of Meckel's diverticulum. [2] In our case, also less likely possible differential of infected urachal cyst with secondary could be thought of due to a fibrous band like structure seen connecting to dome of urinary bladder on CECT, but the gut like tubular structure arising from antimesentric border of ileum on USG made us to finalize on diagnosis of Meckel's diverticulitis. Since OMD anomalies and urachal remnants can involve the umbilicus, differentiation at sometimes may be difficult.…”

“…Meckel's diverticulum is usually asymptomatic, symptoms develop when Meckel's diverticulum involves complications such as hemorrhage, inflammation, and perforation, or when it causes intussusception or bowel obstruction. [1,2] Hemorrhage is the most common and early complication of Meckel's diverticulum due to ectopic gastric mucosa. 99mTc-Na-pertechnetate scintigraphy helps in the diagnosis of Meckel's diverticulum as it is taken up by mucin secreting cells of the ectopic gastric tissue in Meckel's diverticulum.…”

“…99mTc-Na-pertechnetate scintigraphy helps in the diagnosis of Meckel's diverticulum as it is taken up by mucin secreting cells of the ectopic gastric tissue in Meckel's diverticulum. [2] It can mimic such as appendicitis and urachal anomalies enteric duplication cyst. Appendix needs to be examined properly and ruled out as normal.…”

“…Enteric duplication cyst can be differentiated by its origin from mesenteric border of bowel and does not communicate with bowel lumen. [2] Other abdominal and pelvic pathologies that are differentials are shown in Table 1.…”

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

“…If this obliteration fails, OMD remains which causes pathologies mostly in the pediatrics and infrequently in adults [7] . These abnormalities occur based on how patent is the remaining duct connecting the ileum and umbilicus [8] . The most well-known OMD remnant disease is Meckel's diverticulum.…”