Surgical Treatment of Patent Omphalomesenteric Duct Presenting as Faecal Umbilical Discharge

Abstract

A newborn infant with patent omphalomesenteric duct (POMD), who presented faecal umbilical discharge, was treated with a semicircular periumbilical incision up to the abdominal cavity. The omphalomesenteric duct was followed up to the junction with the small intestine and there resected. The abdominal wall was closed without resection of the umbilicus.

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

“…Remnants of the vitello-intestinal duct are said to be present in 2 to 4% of all routine postmortem examinations 2 , but presumably many people live their allotted span of life despite their presence and at no time have symptoms referable to them 2,3 . On the other hand, these vestigial structures may make their presence known dramatically in the first few years of life, or, more rarely, in adult life [2][3][4] . The complications to which they are subject are serious and are commonest in infants and young children of the male sex 2 .…”

“…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 .…”

“…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 . The differential diagnosis of persistent umbilical discharge includes a patent urachus (a congenital communication with the bladder), an incarcerated hernia, metastatic disease, tuberculosis or some other chronic infection 4,5 .…”

“…There may be associated cellulitis, which in rare cases can rapidly progress to necrotizing fasciitis and severe sepsis 4,5 . The differential diagnosis of persistent umbilical discharge includes a patent urachus (a congenital communication with the bladder), an incarcerated hernia, metastatic disease, tuberculosis or some other chronic infection 4,5 . At 11 months of age the differential usually rests between a patient VID and urachus 4,5 .…”

“…The differential diagnosis of persistent umbilical discharge includes a patent urachus (a congenital communication with the bladder), an incarcerated hernia, metastatic disease, tuberculosis or some other chronic infection 4,5 . At 11 months of age the differential usually rests between a patient VID and urachus 4,5 . Various surgical operative interventions have been described for the patent VID.…”