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Internal herniation due to an omphalomesenteric duct cyst in a 69-year-old man

S W Suh1, Y S Choi1, S E Lee1

  • 1Department of Surgery, Chung Ang University Hospital, Seoul, Korea, Republic of.

Zeitschrift Fur Gastroenterologie
|September 15, 2015
PubMed

Insights

A rare omphalomesenteric duct cyst caused small bowel obstruction in a 69-year-old man with no prior abdominal surgery. This case highlights a rare cause of mechanical small bowel obstruction in older adults.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Medical Case Reports

Background:

  • Mechanical small bowel obstruction (MSBO) is frequently caused by prior abdominal surgery.
  • Diagnosing and treating MSBO in patients without a surgical history presents significant challenges.
  • Omphalomesenteric duct (OMD) remnants are uncommon causes of obstruction, primarily seen in pediatric patients.

Observation:

  • A 69-year-old male presented with symptoms of small bowel obstruction.
  • The patient had no history of abdominal surgery.
  • Imaging and subsequent surgical findings revealed an omphalomesenteric duct cyst as the cause of obstruction.

Findings:

  • An omphalomesenteric duct cyst was identified as the cause of mechanical small bowel obstruction.
  • This presentation is exceptionally rare in individuals over 60 years of age.
  • The case underscores the importance of considering rare congenital anomalies in the differential diagnosis of MSBO.

Implications:

  • This case expands the known spectrum of omphalomesenteric duct remnant presentations.
  • It emphasizes the need for thorough diagnostic evaluation in elderly patients with MSBO and no surgical history.
  • Highlights the potential for rare congenital anomalies to cause significant pathology in adulthood.

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