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Extrahepatic Bile Duct and Gall Bladder Dissection in Nine-Day-Old Mouse Neonates

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Published on: August 23, 2022

Vitellointestinal Duct Anomalies in Infancy.

Yogender Singh Kadian¹, Anjali Verma², Kamal Nain Rattan¹

¹Department of Pediatric Surgery, Pt. BD Sharma PGIMS, Rohtak, Haryana, India.

Journal of Neonatal Surgery

|July 20, 2016

Summary

Persistent vitellointestinal duct (VID) anomalies present variedly in infants. Urgent surgery is crucial for high-output umbilical fistulas and bowel prolapse to prevent mortality.

Keywords:

Infancy Umbilicus Vitellointestinal duct

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Area of Science:

Pediatric Surgery
Embryology
Gastrointestinal Anomalies

Background:

Vitellointestinal duct (VID) anomalies arise from the persistent embryonic vitelline duct.
Normal obliteration of the vitelline duct occurs between 5-9 weeks of gestation.

Observation:

A retrospective analysis included 16 infants with symptomatic VID remnants.
Presentations varied, including patent VID (56.25%), umbilical cysts (12.25%), umbilical granulomas (12.25%), and Meckel's diverticulum in hernias (6.25%).

Findings:

The male to female ratio was 4.3:1, with a mean age of presentation at 2 months.
Two patients with umbilical fistula experienced severe electrolyte disturbances and did not survive surgical intervention.

Implications:

Persistent VID anomalies manifest diversely in infancy.
Prompt surgical intervention is essential for high-output umbilical fistulas and significant bowel prolapse to mitigate severe outcomes.