Patent Omphalomesenteric Duct Remnants: Report of 4 Cases.
- Author:
Woo Yong LEE
1
;
Suk Koo LEE
;
Hyun Hahk KIM
Author Information
1. Division of Pediatric Surgery, Department of Surgery,College of Medicine Sung Kyun Kwan University, Samsung Medical Center Sung Kyun Kwan University, Samsung Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Patent omphalomesenteric duct remnant
- MeSH:
Colon;
Fistula;
Humans;
Ileum;
Infant;
Infant, Newborn;
Parturition;
Prolapse;
Vitelline Duct*
- From:Journal of the Korean Association of Pediatric Surgeons
1997;3(2):148-151
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The omphalomesenteric duct normally obliterates by the sixth week of intrauterine life. Incomplete obliteration results various abnormalities which may be apparent in the newborn infant. The omphalomesenteric duct may persist as an omphalomesenteric fistula. Morphologically the fistula resembles the ileum, but may contain ectopic gastric, colonic or pancreatic tissue. The infant presents with an umbilical discharge which may be recognizable as small bowel content. Although this malforamtion should be recognizable at birth, 40% of patients are not treated until after the first month of life. In the past 28 months since the Samsung Medical Center opened its doors to public, the authors experienced 4 cases of patent omphalomesenteric duct remnant including one case of T-shaped total prolapse of duct and adjacent ileum. These cases will be discussed with literature review.
