Adult case of an omphalomesenteric cyst resected by laparoscopic-assisted surgery

Abstract

This report describes an extremely rare adult case of an omphalomesenteric cyst resected by laparoscopic-assisted surgery. A 29-years-old Japanese man was referred and admitted to Kyushu University Hospital because of an abdominal mass and an elevated serum CEA (carcinoembryonic antigen) level (21.3 ng/mL) in August 2001. Abdominal CT and US demonstrated a cystic mass with septum and calcification. Laparoscopy showed a large mass to be attached to his abdominal wall, measuring 110 mm x 70 mm x 50 mm and filled with mucus. The mass was resected by laparoscopic-assisted surgery. The histological findings of its wall showed fibromuscular tissue, adipose tissue, calcification, and an intestinal structure. It was finally diagnosed to be an omphalomesenteric cyst.

A rare cause of small bowel obstruction in adults: persistent omphalomesenteric duct

“…Other types of symptomatic persistent OMD require different approaches, such as open surgical excision or laparoscopic excision. [8,11,12] In conclusion, small bowel volvulus due to persistent OMD is a very rare cause of intestinal obstruction in adults. However, in patients without any previous abdominal surgery, a correct diagnosis becomes more important.…”

“…[11] The most common presentation of a persistent duct (67%) is the Meckel's diverticulum, found in approximately 2% of the population. [12] Other OMD remnants occur infrequently. Although they may be asymptomatic, common symptoms of OMD malformations include abdominal pain, intestinal bleeding, intestinal obstruction, infection of the cyst, umbilical drainage, and umbilical hernia, and all of these symptoms appear to be age-dependent, usually before the age of four years.…”

Extremely rare presentation of an omphalomesenteric cyst in a 61-year-old patient

“…A 24-year-old male patient with abdominal pain was treated with a totally laparoscopic approach for a 20 x 45 x 75-mmsized omphalomesenteric cyst (1). A 29-year-old male with a 50 x 80 x 100-mm-sized omphalomesenteric cyst was treated laparoscopically, and the cyst was removed through a 5-cm abdominal incision (5). In our patient, the preoperative CT assessment revealed a cyst measuring 115 x 100 x 68 mm in size.…”

Recanalisation of Multiple Vitellointestinal Duct after Small Bowel Obstruction in Adult- A Rare Case Presentation

“…Patent vitello-intestinal duct is an unusual congenital disease, occurs in about 2% of the population 1 , which may lead to small intestinal obstruction and other complications, like abdominal pain, intestinal haemorrhage and umbilical sinus, fistula or hernia which commonly occurs in children 2 , it is rare in adults 3 . It is generally a disease of embryonic yolk stalk.…”