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Related Experiment Videos

Small bowel obstruction due to a persistent omphalomesenteric duct.

M Herman1, S Gryspeerdt, D Kerckhove

  • 1Department of Radiology, Stedelijk Ziekenhuis Roeselare, Belgium.

JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR)
|September 24, 2005
PubMed
Summary

A rare case of Meckel diverticulum caused small bowel obstruction via a fibrotic cord to the umbilicus. Early surgical intervention is crucial for managing this condition and preventing severe complications like bowel ischemia.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Pediatric Surgery

Background:

  • Meckel diverticulum is a congenital anomaly of the gastrointestinal tract.
  • It can lead to various complications, including obstruction, bleeding, and inflammation.
  • A persistent omphalomesenteric duct is a rare cause of abdominal pathology.

Observation:

  • A patient presented with acute abdomen and small bowel obstruction.
  • Preoperative imaging (radiography, ultrasonography, gastrografin enema) suggested obstruction but did not identify the cause.
  • Surgical exploration revealed a fibrotic cord connecting a Meckel diverticulum to the umbilicus, causing a secondary volvulus.

Findings:

  • The fibrotic cord from the persistent omphalomesenteric duct led to small bowel obstruction and volvulus.

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  • Surgical resection of the remnant and reduction of the volvulus resulted in an uneventful recovery.
  • This case highlights a less common presentation of Meckel diverticulum.

    • Implications:

    • Persistent omphalomesenteric duct anomalies should be considered in the differential diagnosis of small bowel obstruction, even with negative preoperative work-up for Meckel diverticulum.
    • Prompt surgical intervention is essential to prevent life-threatening complications such as bowel ischemia and necrosis.
    • Awareness of this specific etiology can improve diagnostic accuracy and patient outcomes in cases of unexplained small bowel obstruction.