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Symptomatic omphalomesenteric duct remnants in children

Cigdem Ulukaya Durakbasa1, Hamit Okur, Huseyin Murat Mutus

  • 1Istanbul Goztepe Education and Research Hospital, Department of Pediatric Surgery, Istabul, Turkey. cigdemulukaya@yahoo.com

Pediatrics International : Official Journal of the Japan Pediatric Society
|October 30, 2009
PubMed

Insights

Symptomatic omphalomesenteric duct (OMD) remnants in children often cause gastrointestinal obstruction or acute abdomen. Surgical resection is curative, with ectopic tissue found in about a third of cases.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Developmental Biology

Background:

  • Omphalomesenteric duct (OMD) remnants are congenital anomalies that can lead to significant pediatric surgical issues.
  • Symptomatic OMD remnants require prompt diagnosis and management to prevent complications.

Purpose of the Study:

  • To analyze a single institution's experience with symptomatic omphalomesenteric duct (OMD) remnants in children.
  • To detail patient demographics, presentation, surgical approaches, and histopathological findings.

Main Methods:

  • Retrospective review of pediatric patients treated for symptomatic OMD remnants over a 17-year period.
  • Exclusion of incidental diverticulectomies to focus on symptomatic cases.

Main Results:

  • 59 children (median age 36 months) underwent surgery for symptomatic OMD remnants.
  • Common presentations included gastrointestinal tract (GIT) obstruction (36%), acute abdomen (31%), and umbilical abnormalities (29%).
  • Histopathology revealed inflammation (44%), ectopic tissue (31% - including gastric and pancreatic tissue), and necrosis (7%).

Conclusions:

  • Symptomatic OMD remnants in children most frequently present with GIT obstruction, acute abdomen, or umbilical anomalies.
  • Surgical resection, either wedge or segmental ileal resection, is an effective and curative treatment.
  • Ectopic tissue is a common histopathological finding in symptomatic OMD remnants.
Abstract

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