A Case of a Patent Omphalomesenteric Duct Presenting with Meconium Discharge from the Umbilicus
- Author:
Choong Hee HAN
1
;
Myoung Won SON
;
Jun Hwan SONG
Author Information
1. Department of Pediatrics, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. joonanii@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Patent omphalomesenteric duct;
Meconium;
Umbilical cord
- MeSH:
Diatrizoate Meglumine;
Fistula;
Humans;
Infant;
Infant, Newborn;
Meconium;
Parturition;
Physical Examination;
Pregnancy;
Ultrasonography;
Umbilical Cord;
Umbilicus;
Vitelline Duct;
Yolk Sac
- From:Soonchunhyang Medical Science
2019;25(1):83-86
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The omphalomesenteric duct is a link between the primitive midgut and the yolk sac. Normally, the duct obliterates around 6 weeks of gestation, yet varying degrees of incomplete obliteration can take place in 1%–4% of infants. This study described the case of a newborn with a patent omphalomesenteric duct remnant fistula identified at birth with meconium in the umbilical cord. At birth, the infant presented meconium staining and meconium discharged within the umbilical cord. Physical examination and other examinations showed no other specific findings. The omphalomesenteric duct fistula was confirmed through the imaging study (abdominal ultrasonography, gastrografin enema). A surgery was carried out where the remnant was resected. The patient did well and was discharged soon after without complication.
