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[Patent omphalomesenteric duct (a case report)].

N Sqalli Houssaini1, S Tizniti, Y Abouabdillah

  • 1Service de radiologie, hôpital Al Ghassani, CHU Hassan-II, BP 2027, Fès 30001, Maroc. squalli.nadia@caramail.com

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|November 3, 2004
PubMed
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A rare case of patent omphalo-mesenteric duct, a congenital anomaly causing umbilical discharge, was reported. Early diagnosis is crucial to prevent severe complications like intestinal obstruction and perforation.

Area of Science:

  • Medical Science
  • Pediatric Surgery
  • Neonatology

Background:

  • The omphalo-mesenteric duct (OMD) normally obliterates by the 7th week of gestation.
  • Failure of obliteration results in a patent OMD, a rare congenital anomaly.

Observation:

  • A two-month-old infant presented with persistent umbilical liquid discharge since birth.
  • Physical examination revealed an inflamed umbilical mass.
  • Radiological investigation confirmed a direct communication between the umbilical canal and the gastrointestinal tract.

Findings:

  • The case highlights a patent omphalo-mesenteric duct, characterized by umbilical discharge and an inflammatory umbilical tumefaction.
  • Diagnostic imaging confirmed the intestinal communication, establishing the diagnosis.

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  • Clinical presentation can be atypical, underscoring the need for thorough investigation.

    • Implications:

    • Patent omphalo-mesenteric duct is a rare condition requiring prompt diagnosis and management.
    • Delayed diagnosis can lead to severe complications, including prolapse, occlusion, ulceration, hemorrhage, and perforation.
    • Early diagnostic intervention is essential to mitigate potential morbidity in affected infants.