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Patent vitello-intestinal duct: an unusual presentation
1Lady Ridgeway Hospital for Children, Colombo.
The Ceylon Medical Journal
|September 1, 1993
Insights
A child passed a roundworm through the umbilicus, highlighting a rare case of a patent vitello-intestinal duct. This condition requires prompt diagnosis and management to prevent complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Patent vitello-intestinal duct (PVİD) is a congenital anomaly resulting from the incomplete obliteration of the omphalomesenteric duct.
- PVİD can lead to various gastrointestinal complications, including intestinal obstruction and umbilical abnormalities.
Observation:
- A case of a child presenting with a roundworm expulsion via the umbilicus is described.
- This unusual presentation prompted an investigation into underlying congenital abnormalities.
Findings:
- The roundworm expulsion was attributed to a patent vitello-intestinal duct.
- Diagnostic imaging and clinical evaluation confirmed the presence of the PVİD.
Implications:
- Early diagnosis and surgical management of PVİD are crucial to prevent morbidity.
- This case underscores the importance of considering congenital anomalies in pediatric patients with atypical presentations.
Abstract:
The case history of a child passing a roundworm through the umbilicus is presented. The diagnosis and management of a patent vitello-intestinal duct is discussed.