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Published on: February 28, 2025
Omphalomesenteric duct cyst in an omphalocele: a rare association
Yousuf Aziz Khan1, Mumtaz Ahmed Qureshi2, Jamshed Akhtar3
1Yousuf Aziz Khan, MBBS, FCPS (Paediatric Surgeon), Department of Paediatric Surgery, National Institute of Child Health, Rafiquee Shaheed Road, Karachi - 75510, Sind, Pakistan.
Insights
Omphalomesenteric duct (OMD) remnants can occur with omphalocele in infants. This case highlights a rare OMD remnant presenting as a cyst, requiring surgical intervention.
Area of Science:
- Pediatric Surgery
- Developmental Biology
- Gastrointestinal Surgery
Background:
- Omphalomesenteric duct (OMD) remnants are congenital anomalies often associated with omphalocele in neonates.
- Meckel's diverticulum is the most common OMD remnant found in omphalocele cases.
- Rarely, other OMD-related lesions can present within an omphalocele sac.
Observation:
- A one-day-old male infant presented with an omphalocele.
- Surgical exploration revealed a 10 x 12 cm cyst containing intestinal contents as the omphalocele content.
- The cyst was continuous with proximal and distal ileal loops.
Findings:
- The cyst was surgically resected, followed by primary intestinal anastomosis.
- The infant also had complex cardiac anomalies.
- The infant succumbed to sepsis a few days post-operatively.
Implications:
- This case underscores the importance of thorough surgical exploration for omphaloceles to identify unusual OMD remnants.
- Management requires prompt surgical intervention for OMD remnants and omphalocele.
- Associated congenital anomalies, such as cardiac defects, can significantly impact patient outcomes.
Abstract:
Omphalomesenteric duct (OMD) remnants and omphalocele are not infrequently seen in paediatric patients. In most of the cases, OMD remnant in an omphalocele is a Meckel's diverticulum; however rarely there may be other lesions. A one-day old male baby underwent surgery for omphalocele. At exploration a 10 x 12 cm cyst containing gut contents was found as the content of the omphalocele, with proximal and distal ileal loops running in continuity with it. Resection of the cyst with end to end primary gut anastomosis was done. Baby also had complex associated cardiac anomalies and died few days after surgery due to sepsis.
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