Patent Vitello-Intestinal Duct With Ileal Prolapse

Elebute, E. A.; Ransome-Kuti, O

doi:10.1001/archsurg.1965.01320150086013

Cited by 27 publications

(18 citation statements)

References 9 publications

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“…Failure to obliterate may lead to variety of congenital anomalies including; Meckel's diverticulum, vitelline cord, umbilical sinus, enteric fistula and or haemorrhagic umbilical mass [1][2][3][4]. To date only 15 cases have been reported in the English medical literature [5][6][7][8][9][10][11][12][13][14][15]. Moreover, to the best of our knowledge there is no reported case of a new born presenting with patent VID with prolapsed (intussusceptions) of proximal and distal ileal loop.…”

Section: Discussionmentioning

confidence: 99%

Patent Vitellointestinal Duct with Inverted Ileal Loop Prolapse with Strangulation at Birth in Preterm (34 Weeks): A Rare Presentation

Raheja¹,

Aggarwal²,

Prakash³

et al. 2017

Surgery

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Journal of Surgery IntroductionDuring the fifth to seventh week of gestation, midgut enlarges rapidly and as it becomes too large for the abdominal cavity, it herniates through the umbilical cord. The apex of the herniated midgut is continuous with VID and yolk sac. Superior mesenteric artery forms the axis of this herniated midgut. Around tenth week of gestation herniated midgut returns back into the peritoneal cavity [1,2]. During this complex developmental process several anomalies may occur because of the complexity of the process. Examples include bowel atresias and stenoses, abnormalities of the vitellointestinal duct (Meckel's diverticulum, patent vitellointestinal duct (PVID), umbilical fistulas, umbilical sinus tracts, umbilical cysts and umbilical polyps), failure of ceacal descent, malrotation, malfixation, reversed bowel rotation and exomphalos [1][2][3]. VID is more common in males and mostly presents in first 28 days of life. This anomaly needs to be managed urgently to prevent gangrene. Case PresentationA male neonate delivered via LSCS (CAUSE-PREVIOUS LSCS) which was unbooked delivery 34 weeks with LMP-3/12/16 and EDD-10/9/17 WITH G4P3L3A1 was admitted in Yashoda Hospital, Ghazaibad, U.P. Baby was born at preterm. Antenatal scans were reported to be abnormal showing anterior wall depressed-pouch and part of intestine coming out from umbilicus. Birth weight was 2250 g and Apgar scores were 8/1, 9/1, 10/10. On examination at birth, newborn was having respiratory distress and grunting, so oxygen was started immediately and chest x-ray and arterial blood gas (ABG) was done. Chest x-ray showed grade 2 Hyaline Membrane Disease (HMD) and ABG showed respiratory acidosis, for which child was intubated and ventilated, also received surfactant. Abdominal examination revealed a bright red 'Y' shaped loop of small intestine was protruding from the umbilical ring. It was fixed to the umbilicus, with easily bleeding mucosa and irreducibility. Rest of the abdomen was not distended non tender (Figures 1 and 2). Bowel sounds were absent. There was no bilious aspirate in the orogastric tube. Anal opening was normally placed and patent, however, he had not passed any meconium. Patient had passed clear urine twice and the bladder was not palpable. Rest of the systemic examination was normal. AbstractPatent vitellointestinal duct (VID) can present to us in many variety of congenital intestinal malformations. Patient presents with either anomaly alone or complications secondary to the anomaly. Most common reported anomaly of residual vitelline duct is Meckel's diverticulum with different presentations like bleeding, intestinal obstruction or diverticulitis. Prolapsed ileal loops through a patent VID is a rare presentation of the above. To date only fifteen cases of this presentation have been reported in the English medical literature but none reported in a premature newborn baby presenting with it from the time of birth, which to the best of our knowledge has not been reported before and therefore this the youngest r...

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Section: Discussionmentioning

confidence: 99%

Patent Vitellointestinal Duct with Inverted Ileal Loop Prolapse with Strangulation at Birth in Preterm (34 Weeks): A Rare Presentation

Raheja¹,

Aggarwal²,

Prakash³

et al. 2017

Surgery

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“…Открытый ОМП может осложниться также ин-фекцией пупочного кольца, кровотечением, про-лапсом слизистой оболочки кишки, ущемлением кишки [1,9,10].…”

Section: Discussionunclassified

“…Обычно для хирургической коррекции использует-ся лапаротомия -поперечная или вертикальная [2,[9][10][11]. Однако в результате использования большо-го открытого разреза формируется видимый после-операционный рубец.…”

Section: Discussionunclassified

Laparoscopic technique of resection of omphalomesenteric duct in the newborns

Kozlov¹,

Novozhilov²,

Барадиева³

et al. 2014

Endosk. khir.

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29Открытый, или персистирующий, омфаломе-зентериальный проток (ОМП) -форма пупочно-го остатка, который проявляется после рождения наличием сообщения между кишечной трубкой и пупком. Эта врожденная аномалия развития обу-словливает необходимость раннего хирургического лечения, которое проводится в первые дни жизни. Открытые операции с применением различных раз-резов брюшной стенки длительное время являлись стандартом в лечении пациентов с ОМП [1][2][3].Появление лапароскопии изменило подходы к лечению многих врожденных заболеваний кишеч-ника у маленьких детей. В научном исследовании сообщается об использовании нового эндохирурги-ческого способа резекции ОМП, который заключа-ется в интра-и экстраабдоминальном применении эндоскопического линейного степлера. Этот способ получил название техники «двойного щелчка» по причине того, что сшивающий аппарат использо-вался дважды -первоначально внутри, а затем сна-ружи брюшной полости. Материал и методы

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“…The complications to which they are subject are serious and are commonest in infants and young children of the male sex 2 . A patent vitello-intestinal duct (VID) can present as discharging umbilical sinus, umbilical nodule or polyp, bleeding from intestinal mucosa and Intestinal small bowel prolapsed [2][3][4][5][6][7] . There may be associated cellulitis, which in rare cases can rapidly progress to necrotizing fasciitis and severe sepsis 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…Various surgical operative interventions have been described for the patent VID. The umbilical approach to VID has been reported through one of the three approaches: a circular incision around the umbilicus with excision of umbilicus and umbilicoplasty 2 , infraumblical incision without umbilical excision so the patient retains the umblicus 5,6 , a circular incision around umbilicus without umbilical reconstruction, hence the patient losses the umbilicus 7 . These approaches allow the patent VID to be mobilized and then a decision can be made as to how the patent VID is to be resected.…”

Section: Introductionmentioning

confidence: 99%

Important clinical lesson in a patent Vitello-intestinal duct in a 3 year old male: Literature review and a case report.

BMBCH¹

2014

IOSR-JDMS

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Patent Vitello-Intestinal Duct With Ileal Prolapse

Cited by 27 publications

References 9 publications

Patent Vitellointestinal Duct with Inverted Ileal Loop Prolapse with Strangulation at Birth in Preterm (34 Weeks): A Rare Presentation

Patent Vitellointestinal Duct with Inverted Ileal Loop Prolapse with Strangulation at Birth in Preterm (34 Weeks): A Rare Presentation

Laparoscopic technique of resection of omphalomesenteric duct in the newborns

Important clinical lesson in a patent Vitello-intestinal duct in a 3 year old male: Literature review and a case report.

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