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A completely patent omphalomesenteric duct causing recurrent intestinal obstruction in a Nigerian adult: a case

Muhammad Daniyan1, Ahmad Mai1, Peter Pase Abur1

  • 1Department of Surgery, ABU/ABU Teaching Hospital Zaria, Tudun Wada, Nigeria.

Journal of the West African College of Surgeons
|October 3, 2022
PubMed

Insights

Recurrent intestinal obstruction in adults can stem from rare congenital anomalies like a patent omphalomesenteric duct (OMD). High suspicion is crucial for diagnosing and managing this uncommon cause of small bowel obstruction.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Congenital Abnormalities

Background:

  • Mechanical small bowel obstruction is a significant surgical concern, typically caused by adhesions or hernias.
  • Congenital anomalies are infrequent causes of obstruction in adults.
  • Patent omphalomesenteric duct (OMD) remnants are rare but potential etiologies.

Observation:

  • A case study of a young Nigerian adult presenting with recurrent intestinal obstruction.
  • The patient had no history of abdominal surgery or external hernias.
  • The obstruction was attributed to a completely patent omphalomesenteric duct.

Findings:

  • Patent omphalomesenteric duct (OMD) can cause recurrent small bowel obstruction in adults.
  • This diagnosis requires a high index of suspicion, especially in patients without typical risk factors.
  • Early identification and management are critical for favorable outcomes.

Implications:

  • Broadens the differential diagnosis for small bowel obstruction in adults.
  • Highlights the importance of considering congenital anomalies in unexplained cases.
  • Emphasizes the need for thorough evaluation in recurrent obstruction scenarios.
Keywords:
Adultomphalomesenteric ductrecurrent intestinal obstruction

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