[A case of vitello intestinal cyst]

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Pathology

Background:

• Vitello intestinal cyst is a rare congenital anomaly originating from the omphalomesenteric duct.
• Accurate diagnosis is crucial for appropriate management and to differentiate from other umbilical masses.

Observation:

• A 16-month-old girl presented with a cystic umbilical mass, initially suspected as a urachal cyst.
• Surgical resection revealed a cyst with intestinal epithelia and ectopic pancreatic and gastric mucosal elements.
• Preoperative elevated serum amylase normalized post-cyst removal.

Findings:

• Histopathological examination confirmed the diagnosis of vitello intestinal cyst.
• The presence of ectopic pancreatic tissue within the cyst was a key finding.
• Elevated serum amylase levels preoperatively suggest a connection to pancreatic tissue.

Implications:

• This case highlights the importance of considering vitello intestinal cyst in umbilical masses.
• Serum or fluid amylase levels may serve as a valuable diagnostic marker for vitello intestinal cyst.
• Understanding the association with ectopic pancreatic tissue aids in differential diagnosis and patient management.