A Clinical Study of Vitelline Duct and Vessel Remnants.
- Author:
Jae Young CHOI
1
;
Poong Man JUNG
Author Information
1. Department of Surgery, Hanyang University, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Vitelline duct remnant;
Omphalomesenteric duct remnant;
Vitelline artery remnant;
Vitelline vein remnant
- MeSH:
Arteries;
Drainage;
Hemorrhage;
Humans;
Intestinal Obstruction;
Laparotomy;
Male;
Meckel Diverticulum;
Polyps;
Umbilicus;
Veins;
Vitelline Duct*;
Vitellins*
- From:Journal of the Korean Association of Pediatric Surgeons
1998;4(1):27-33
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Of 72 cases with vitelline duct and vessel remnants, 45 (62.5%) had symptomatic lesions (mean age, 27.9 months) with male preponderance (4.6: 1). Among the 45 symptomatic lesions, there were 22 cases of Meckel's diverticulum, 6 cases of Meckel's diverticulum with fibrous band attached to the umbilicus, 6 cases of patent vitelline duct, 5 cases of vitelline artery remnant as fibrous band, 2 cases of umbilical sinus, 2 cases of umbilical polyp, and 2 cases of vitelline cyst. Twenty three cases (51%) presented with intestinal obstruction, 6 (13%) with rectal bleeding, 4 (9%) with perforated Meckel's diverticulum, 5 with intestinal fluid drainage through umbilicus, 5 with umbilical lesion, and 1 with abdominal mass. Intestinal obstruction due to fibrous band developed at infancy (average age, 4.6 months). About 82% of complicated Meckel's diverticulum (n=28) presented less than 4 years of age. Seventeen Meckel's diverticulums, 8 obliterated vitelline artery remnants, and 1 vitelline vein remnant as fibrous band were found incidentally at laparotomy.
