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Persistent omphalomesenteric duct causing small bowel obstruction in an adult
Haridimos Markogiannakis1, Dimitrios Theodorou, Konstantinos G Toutouzas
1Department of Propaedeutic Surgery, Hippokration Hospital, Athens Medical School, University of Athens, Kerasoudos 54 Street, 15771 Zografou, Athens, Greece. hmarkogiannakis@mycosmos.gr
World Journal of Gastroenterology
|May 1, 2007
Summary
A rare case of persistent omphalomesenteric duct caused small bowel obstruction in a young woman. Surgical resection of the remnant led to a full recovery, highlighting its importance in adult obstruction cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- The omphalomesenteric duct (OMD) normally obliterates during fetal development.
- Persistence of the OMD is a rare congenital anomaly.
- It can lead to various gastrointestinal complications, including obstruction.
Observation:
- A 20-year-old female presented with acute symptoms of small bowel obstruction.
- Imaging revealed a band from the umbilicus to the small bowel, suggestive of an OMD remnant.
- Physical examination and initial blood tests were unremarkable.
Findings:
- Exploratory laparotomy confirmed a persistent omphalomesenteric duct as the cause of obstruction.
- The OMD remnant was successfully resected.
- The patient experienced an uncomplicated postoperative recovery.
Implications:
- Persistent omphalomesenteric duct, though rare, is a critical consideration for small bowel obstruction in adults, especially those without prior surgery.
- Early diagnosis and surgical intervention are key to favorable outcomes.
- This case underscores the importance of recognizing congenital anomalies in adult surgical presentations.
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