Two Cases of Massively Prolapsed Patent Vitellointestinal Duct

Area of Science:

• Pediatric Surgery
• Congenital Anomalies
• Gastrointestinal Surgery

Background:

• Patent vitellointestinal duct (PVID) is a congenital anomaly typically presenting with umbilical fecal discharge.
• PVID can lead to complications beyond simple discharge, necessitating surgical intervention.

Observation:

• Two infant cases of PVID presented with massive bowel prolapse through the umbilical defect.
• Clinical signs included intestinal obstruction due to the prolapsed ileum.

Findings:

• Surgical exploration confirmed ileal intussusceptum prolapse through the patent vitellointestinal duct.
• Both patients underwent successful surgical management for the prolapse and obstruction.

Implications:

• This highlights a rare but severe presentation of PVID requiring prompt surgical diagnosis and treatment.
• Early surgical intervention is crucial for managing PVID complications like massive bowel prolapse and obstruction in infants.