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[A neonate with soft tissue protruding through the umbilicus]
P J van der Sluijs1, Christien Sleeboom2, Marieke G Peetsold1,3
1Alrijne ziekenhuis, afd. Kindergeneeskunde, Leiderdorp.
Nederlands Tijdschrift Voor Geneeskunde
|August 12, 2020
Summary
A neonate had soft tissue protruding from the umbilicus due to a persistent omphalomesenteric duct. Surgical removal of this remnant was performed successfully the following day.
Area of Science:
- Neonatal surgery
- Pediatric surgery
- Gastrointestinal development
Background:
- The ductus omphalo-entericus, also known as the omphalomesenteric duct, is a remnant of the embryonic connection between the midgut and the umbilical vesicle.
- Failure of this duct to obliterate can lead to various congenital anomalies, including umbilical hernias and persistent omphalomesenteric duct cysts.
Observation:
- A 6-week-old neonate presented with a soft tissue protrusion at the umbilicus.
- Clinical examination revealed the protrusion to be a manifestation of a persistent ductus omphalo-entericus.
Findings:
- The protruding soft tissue was confirmed to be a persistent ductus omphalo-entericus.
- Surgical intervention was indicated for the management of this congenital anomaly.
Implications:
- Early surgical excision of a persistent ductus omphalo-entericus is crucial to prevent complications such as incarceration, strangulation, or intestinal obstruction.
- This case highlights the importance of recognizing and managing umbilical remnants in neonates to ensure optimal surgical outcomes.
- Prompt surgical treatment leads to successful resolution of the condition with minimal morbidity.
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