Associated patent urachus and patent omphalo–mesenteric duct in children

Combination of Urachal and Omphalomesenteric Duct Remnant: A Rare Case Reports

“…1 Omphalomesenteric duct may range from patent omphalomesenteric duct to the more common Meckel's diverticulum, while the urachal remnants can be in the form of patent urachus, urachal cyst, urachal sinus, and bladder diverticulum. 2,3 The umbilical congenital anomalies in children are rare, about 15% of cases were associated with umbilical cords. The incidence of patent vitelointestinal duct (omphalomesenteric duct) varies from 1 in 5000-8000, while patent urachus are still rare, ranging from 1-2 per 10000 deliveries.…”

“…The incidence of patent vitelointestinal duct (omphalomesenteric duct) varies from 1 in 5000-8000, while patent urachus are still rare, ranging from 1-2 per 10000 deliveries. 1,2,4 The combination of both congenital anomalies is very rare, and only reported 12 cases since 1898 until 2016. All of the affected newborns were full term.…”

“…All of the affected newborns were full term. 2,3 Omphalomesenteric duct remnants are often asymptomatic, but may become symptomatic at any age, including abdominal pain, intestinal bleeding, intestinal obstruction, umbilical drainage, and umbilical hernia. Infection and tumors (either benign or malignant) are two main complications of urachal abnormalities.…”

“…Infection and tumors (either benign or malignant) are two main complications of urachal abnormalities. 2 The diagnosis of umbilical abnormalities can be done by a combination physical examination and radiological examination, such as ultrasound. 2,4 Urachal and omphalomesenteric duct remnant were difficult to diagnosed clinically.…”

“…2 The diagnosis of umbilical abnormalities can be done by a combination physical examination and radiological examination, such as ultrasound. 2,4 Urachal and omphalomesenteric duct remnant were difficult to diagnosed clinically. The diagnosis of these anomalies are rarely based on ultrasound.…”