Intestinal Duplications, Meckel Diverticulum, and Other Remnants of the Omphalomesenteric Duct

2011 ◽  
pp. 1281-1282.e1
2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Yukihiro Tatekawa

Abstract We report our experience with two patients who underwent omphalomesenteric duct resection: one for a patent omphalomesenteric duct and the other for a Meckel diverticulum connected to the umbilicus by a fibrous cord. We used an intraumbilical round incision and a transumbilical vertical incision, respectively. The first patient was a neonate with a patent omphalomesenteric duct who appeared to have a small stoma after ligature of the umbilical cord. Contrast media, injected through a catheter inserted into the stoma, entered the lumen of the small bowel. The second patient was an infant with a Meckel diverticulum connected to the umbilicus by a fibrous cord. After bloody stool was noted, nuclear imaging using 99m technetium pertechnetate revealed a small, round area of intense tracer activity in the midabdomen, suggesting the presence of ectopic gastric mucosa. Using either an intraumbilical or a transumbilical incision is safe and provides good cosmesis.


Author(s):  
B. A. Clark ◽  
T. Okagaki

Vestiges of the omphalomesenteric or vitello-intestinal duct and the pathologic implications attributed to these remnants have been treated in great detail by several investigators. Persistence of the omphalomesenteric duct is associated with such conditions as Meckel's diverticulum, umbilical fistula, mucosal polyps, and sinuses or cysts of the umbilicus. Remnants of the duct in the umbilical cord, although infrequent, are located outside of the triangle formed by the two umbilical arteries and the umbilical vein, are usually discontinuous and are often represented by a small lumen lined by cuboidal or columnar epithelium. This study will examine the ultrastructure of these cells.


JAMA ◽  
1976 ◽  
Vol 236 (19) ◽  
pp. 2172
Author(s):  
Max Cooper
Keyword(s):  

Medicine ◽  
2016 ◽  
Vol 95 (41) ◽  
pp. e5159
Author(s):  
Sagar Pandey ◽  
Miao Fan ◽  
Zhe Xu ◽  
Chaogui Yan ◽  
Junfeng Zhu ◽  
...  

2015 ◽  
Vol 13 ◽  
pp. 61-63 ◽  
Author(s):  
Jhonny Mauricio Fuentes-Diaz ◽  
Camilo Andrés Trujillo-Vasquez ◽  
Ana María Parra-Vargas ◽  
Andrea Sofía Rovira-Chaves ◽  
Laura Viviana Tinoco-Guzman ◽  
...  

2017 ◽  
Vol 52 (10) ◽  
pp. 1610-1615 ◽  
Author(s):  
Jamie R. Robinson ◽  
Hernan Correa ◽  
Adam S. Brinkman ◽  
Harold N. Lovvorn

2015 ◽  
Vol 53 (09) ◽  
pp. 1084-1086
Author(s):  
S. Suh ◽  
Y. Choi ◽  
S. Lee ◽  
H. Kang

2009 ◽  
Vol 35 (8) ◽  
pp. S202
Author(s):  
Kyoung-Ja Lim ◽  
Kwanseop Lee ◽  
Mi-Yeon Lee ◽  
Soo-Yeon Hwang ◽  
Yul Lee
Keyword(s):  

PEDIATRICS ◽  
1957 ◽  
Vol 20 (1) ◽  
pp. 98-100
Author(s):  
Stanley E. Crawford

THE PURPOSE of this paper is to report a recent case of an umbilical polyp and intestinal obstruction during the neonatal period. Umbilical polyps are rare. When present, they may be associated with Meckel's diverticulum because both are remnants of the omphalomesenteric duct. The presence of the visible polyp may give an external clue to otherwise obscure intraabdominal symptoms. A review of the literature earlier than 1916 is well summarized in a book by Thomas Cullen. This unusual volume lists six cases of umbilical polyp accompanied by other pathologic complications of Meckel's diverticulum. This author stressed that in these cases it should be pointed out to either the patient or his parents that possible intra-abdominal duct remnants may, at any time, give rise to symptoms such as intestinal obstruction. Penberthy and Benson reported a 9-year-old male with an umbilical polyp which had been present since birth and was without discharge. This youngster died following operation for intestinal obstruction due to volvulus about the diverticulum and its fibrous connection with the umbilical polyp. These authors pleaded for early elective operations in these cases prior to such complications. Gross gave other reasons for observation, and exploration at a reasonably early age, if a Meckel's diverticulum is suspected. Peritonitis from a ruptured Meckel's diverticulum is peculiarly dangerous; in young children the protecting omentum is inadequate and the migrating nature of the anomaly adds to the danger. Fluid from perforation of a diverticulum is usually of greater volume than that found in appendiceal rupture and abscess.


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