Omphalocele with Double Prolapse of Ileum through Patent Vitellointestinal Duct: A Rare Presentation.
10.13029/jkaps.2015.21.1.14
- Author:
Yasir Ahmad LONE
1
;
Monika BAWA
;
Jegadeesh SUNDARAM
;
K LN RAO
Author Information
1. Department of Pediatric Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India. monikabawa@hotmail.com
- Publication Type:Case Report
- Keywords:
Vitelline duct;
Umbilical hernia;
Ileal prolapse;
Double prolapse
- MeSH:
Cough;
Diverticulum;
Gangrene;
Hernia, Umbilical*;
Humans;
Ileum*;
Infant, Newborn;
Intestinal Obstruction;
Intestinal Volvulus;
Intussusception;
Meckel Diverticulum;
Prolapse*;
Vitelline Duct
- From:Journal of the Korean Association of Pediatric Surgeons
2015;21(1):14-16
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
