Patent vitello-intestinal duct. The risk of obstruction due to prolapse

Soutar, S. F.; Douglas, D. M.; Dennison, Wallace M.

doi:10.1002/bjs.18004519410

Cited by 16 publications

(10 citation statements)

References 2 publications

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“…Other VID remnants occur infrequently, including a persistently patent duct, a solid cord, or a cord with a central cyst or a diverticulum associated with a persistent cord between the diverticulum and the umbilicus [3,4]. Bowel prolapse through PVID is rare and double prolapse of proximal as well as distal loop in a newborn is extremely rare [5,6]. Furthermore, omphalocele with prolapsing bowel through PVID as seen in our index case is even rarer.…”

Section: Discussionmentioning

confidence: 82%

Omphalocele with Double Prolapse of Ileum through Patent Vitellointestinal Duct: A Rare Presentation

Lone

Bawa

Sundaram

et al. 2015

J Korean Assoc Pediatr Surg

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Although Meckel's diverticulum is the most common vitellointestinal duct (VID) anomaly, patent vitellointestinal duct (PVID) is the most common symptomatic embryological defect. Patient may present with the anomaly itself or due to complications like intestinal obstruction secondary to volvulus, intussusception or adhesions. Prolapse occurs if the diverticulum is wide-mouthed enough to allow bowel to come out or due to increased intra-abdominal pressure like cry or cough. Bowel prolapse through PVID is rare and double prolapse of proximal as well as distal loop in a newborn is extremely rare. Omphalocele with prolapsing bowel through PVID as found in our index case is even rarer in literature. The pediatric surgeon should be familiar with these varied manifestations in the newborn because the prolapsed bowel can progress to gangrene and complications if not identified and operated upon early.

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Section: Discussionmentioning

confidence: 82%

Omphalocele with Double Prolapse of Ileum through Patent Vitellointestinal Duct: A Rare Presentation

Lone

Bawa

Sundaram

et al. 2015

J Korean Assoc Pediatr Surg

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“…However, exomphalos minor is associated with vitellointestinal duct anomalies like Meckel's diverticulum, which are not usually seen in exomphalos major [10,11]. It is unusual for there to be a fistula communicating directly with the surface of hernia sac with only 14 cases previously reported [6,[8][9][10][11][12][13][14][15]. Seven presented with prolapse of the ileum through a patent vitellointestinal duct [6,8,9,[12][13][14][15].…”

Section: Discussionmentioning

confidence: 97%

Congenital intestinal fistula with exomphalos minor

Antao

Mackinnon

2006

Ped Surgery Int

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Minor degrees of exomphalos have been known to be associated with vitellointestinal duct anomalies. The most frequent association is Meckel's diverticulum. It is unusual for a fistula to be communicating directly with the exomphalos sac. We report five neonates that presented with a fistula on the exomphalos sac over a 10-year period. The different variants of patent vitellointestinal duct in these cases have been discussed with a review of the literature.

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“…[1] PVID seen eight times more common in males and mostly present at neonatal periods as our both cases are male. [2] The presentation is with fecal discharge from umbilicus through a mucosal lined tubular structure. It is a benign condition with very straightforward surgical treatment (Transumbilical mobilization and resection of PVID with ileal anastomosis).…”

Section: Discussionmentioning

confidence: 99%

“…[3] Only few of the previous reported cases prolapsed intussuscepted distal small bowel via patent vitellointestinal duct were found. [1][2][3][4][5] Factors responsible for prolapsed of bowel may be wide weak umbilical defect, condition that cause increase intraabdominal pressure along with partial bowel obstruction at PVID sites. In view of these serious consequences, PVID should be treated promptly.…”

Section: Discussionmentioning

confidence: 99%