Vitelline duct pathologies in neonates

Çelebi, Süleyman; Özaydın, Seyithan; Polat, Esra; Başdaş, Cemile; Alim, Elmas Reyhan; Sander, Serdar

doi:10.14744/nci.2017.60590

Cited by 6 publications

(12 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A similar demographic profile was also noted by other studies. 4,11,12 Among the VID anomalies, Meckel's diverticulum was the commonest accounting for 75% of the cases in our study. A similar study reported 67% of their symptomatic VID remnant cases to be Meckel's diverticulum.…”

Section: Discussionmentioning

confidence: 58%

Clinicopathological profile of paediatric vitellointestinal duct anomalies

Krishna¹,

Sriampur

Padmaja

et al. 2021

Asian J Med Sci

View full text Add to dashboard Cite

Background: Vitellointestinal duct (VID) or Omphalomesenteric duct (OMD) is the embryonic connection between the yolk sac and the primitive midgut. Anomalies result from failure of the involution of the VID. Normally, it obliterates between the fifth and seventh weeks of fetal life. They include Meckel’s diverticulum (MD), fibrous band, fistula, sinus tract, cyst, and umbilical polyp. Symptomatic cases require surgical correction. They are characterised by different clinical presentations and histological appearances. This study gathers a single paediatric institutional experience of VID remnants, their demographic, clinical profile, varied histomorphology including the presence of ectopic tissues. Aims and Objectives: The objective of this study was to retrospectively review all the symptomatic cases of VID abnormalities at a tertiary pediatric referral hospital. The demographic profile, clinical presentation, and histopathology were reviewed and descriptively analyzed. We classified these anomalies based on embryology and histology. The findings of this study will provide insights to pathologists and treating clinicians less exposed to these rare lesions. Materials and Methods: Data was retrieved retrospectively from the pathology records of a tertiary paediatric referral institute for 3 years. Histological slides of VID anomalies were reviewed and a descriptive analysis of the findings was performed. A thorough review of the literature was also done on these very rare lesions and their findings compared to our results. Results: A total of 60 cases of VID anomalies were encountered during the study period. There was significant male preponderance. The most common age group at surgery was infancy. MD was the commonest VID anomaly. The least common was vitelline fistula and only a single case was encountered in the study period. Ectopic tissues were seen in 25% of the cases and included gastric and colonic mucosae and pancreatic tissue. Conclusion: The histopathology of VID anomalies provides an interesting diagnostic experience for the reporting pathologist. Awareness of the embryology, presentation and histology of these lesions aids in accurate diagnosis.

show abstract

Section: Discussionmentioning

confidence: 58%

Clinicopathological profile of paediatric vitellointestinal duct anomalies

Krishna¹,

Sriampur

Padmaja

et al. 2021

Asian J Med Sci

View full text Add to dashboard Cite

show abstract

“…8 In another review of 36 neonates with vitelline duct pathologies, there were 11 cases of patent vitelline duct, and authors also observed male preponderance as 10:1. 10 In analysis of 73 cases of symptomatic patent vitellointestinal duct anomalies, there were only 5 cases of patent vitellointestinal duct, and all of them were male infants. 11 Kittle et al also documented patent vitellointestinal duct 4.4 times more in males than in females.…”

Section: Discussionmentioning

confidence: 99%

“…There are two options for the surgical resection of the patent vitellointestinal duct: (1) resection of the patent vitellointestinal duct along with wide wedge resection of the ileum and ileal repair; and (2) resection of the patent vitellointestinal duct, adjacent small segment of ileum, and ileoileal anastomosis. [6][7][8]10,13,17 Above surgical procedures can be accomplished through the subumbilical incision, infraumbilical incision, transumbilical approach, or supraumbilical right transverse abdominal incisions. Surgical procedures done through the umbilicus and subumbilical incision carries the best cosmetic results.…”

Section: Patent Vitellointestinal Duct Ghritlahareymentioning

confidence: 99%

“…Standard therapy for the patent vitellointestinal duct is surgical resection of the patent duct with or without resection of adjacent small segment of ileum. [6][7][8]10 Present study comprised of the 24 infants who were operated for the patent vitellointestinal duct, with a brief review of the literature. To the best of author's knowledge, this is the largest series on the management of the patent vitellointestinal duct, exclusively in infants.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Management of Patent Vitellointestinal Duct in Infants

Ghritlaharey

2021

ANAMS

View full text Add to dashboard Cite

Objectives This study was undertaken to investigate and review the clinical presentation, surgical procedures executed, and the final outcome of infants managed for the patent vitellointestinal duct. Materials and Methods This is a single-institution, retrospective study and included infants who were operated for the patent vitellointestinal duct. This study was conducted at author’s Department of Paediatric Surgery during the last 20 years; from January 1, 2000 to December 31, 2019. Results A total of 24 infants were operated for the patent vitellointestinal duct during the study period and comprised 20 (83.3%) boys and 4 (16.6%) girls. The age of infants ranged from 7 days to 10 months, with a mean of 88.41 ± 64.9 days. Twenty-three (95.8%) infants were operated within 6 months of the age, 17 (70.8%) of them were operated within 3 months of the age. Only one (4.1%) infant was operated at the age of 10 months. Among 24 infants, 13 (54.1%) were presented with features suggestive of acute intestinal obstruction and remaining 11 (45.8%) were presented with fecal discharges through the umbilicus without intestinal obstruction. Among 13 infants who presented with acute intestinal obstruction, 12 had prolapsed bowel and 6 of them also had gangrenous bowel. Operative procedures were executed (n = 24) in the following order of frequency: (1) resection of patent vitellointestinal duct, wide wedge resection of ileum,and ileal repair (n = 13, 54.1%); (2) resection of patent vitellointestinal duct, small segment of ileum, and ileoileal anastomosis (n = 9, 37.5%); and (3) resection of patent vitellointestinal duct, segment of ileum, and an ileostomy (n = 2, 8.33%). Postoperatively, two (8.3%) infants developed anastomotic leak and peritonitis one each, later on, both of them died. Conclusion Patent vitellointestinal duct not only present with fecal discharges through the umbilicus but half of the infants presented with prolapsed bowel and with features of acute small bowel obstruction. Delay in seeking treatment for such cases was associated with considerable morbidity and mortality and therefore the patent vitellointestinal duct should be excised at the earliest.

show abstract

“…The omphalomesenteric duct (OMD), also called the vitelline or vitellointestinal duct (VID), is an embryonic structure providing communication from the yolk sac to the midgut during fetal development [ 1 ]. The natural fate of this structure is spontaneous obliteration, where it separates from the intestine during fifth and ninth weeks of gestation [ 2 ]. Failure of its regression results in a spectrum of anomalies including Meckel's diverticulum, patent OMD (POMD), Meckel’s band, omphalomesenteric cysts, umbilical sinus, or umbilical polyp [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Spectrum of Omphalomesenteric Duct Related Anomalies and Their Surgical Management in Children

Azhar¹,

Zamir

Taqvi

et al. 2021

Cureus

View full text Add to dashboard Cite

Objective The aim of this study was to evaluate the clinical presentation and surgical management of omphalomesenteric duct (OMD) remnants in children. Material and methods A descriptive retrospective study was conducted at the Department of Paediatric Surgery of the National Institute of Child Health, Karachi, Pakistan, from April 2017 to January 2020. Children below 12 years of age with various OMD remnants were included in the study. Data regarding age of presentation, type of anomaly, and management collected during this period were reviewed and analyzed using SPSS Version 22 (IBM Corp., Armonk, NY, USA). Results A total of 86 patients, 47 males and 39 females, were managed during the study period. Intestinal obstruction was observed in 44 (51.16%) cases followed by OMD-related umbilical anomalies in 14 (16.27%) cases, acute abdominal pain in 12 (13.95%), rectal bleeding in 3 (3.48%) patients. In 13 (15.16%) cases, Meckel’s diverticulum was discovered incidentally. In 21 cases, wedge resection and ileal repair was performed, whereas 32 required segmental resection and end-to-end anastomosis, and in 32 cases ileostomy was created after resection. Histopathology showed the presence of ectopic mucosa in five cases. Conclusion Patients with OMD remnants had various presentations. The surgical procedure has to be tailored according to the clinical and surgical findings.

show abstract

Vitelline duct pathologies in neonates

Cited by 6 publications

References 24 publications

Clinicopathological profile of paediatric vitellointestinal duct anomalies

Clinicopathological profile of paediatric vitellointestinal duct anomalies

Management of Patent Vitellointestinal Duct in Infants

Spectrum of Omphalomesenteric Duct Related Anomalies and Their Surgical Management in Children

Contact Info

Product

Resources

About