Neonatal prolapsed patent vitellointestinal duct

Patel, Ramnik V; Kumar, Hemant; Sinha, Chandni; Patricolo, Mario

doi:10.1136/bcr-2013-010221

Cited by 11 publications

(8 citation statements)

References 9 publications

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“…The exact incidence is not known. However, it has been reported in children by the following researchers: Elebute and Ransome-Kuti7 in 1965, Davis and Kehm8 in 1967, Lal and Dhall9 in 1976 (reported three cases), Rohatgi and Gorthi10 in 1984, Gvalani et al 11 in 1985, Mohite et al 12 in 2007, Zea et al 13 in 2009, Agrawal and Memon14 in 2010, Singh et al 15 in 2011, Pauleau et al 16 in 2012, Patel et al 17 in 2013 and Kadian18 in 2015.…”

Section: Discussionmentioning

confidence: 96%

Prolapse of inverted ileal loops through a patent vitellointestinal duct

Pathak¹,

Agarwal

Singh

et al. 2015

BMJ Case Reports

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We report a case of a prolapsed patent vitellointestinal duct (PVID) in a 2-month-old girl child who presented with sudden increase in size of a polypoidal lesion into a large, ‘Y’-shaped reddish, prolapsing lesion, discharging gaseous and faecal matter at her umbilicus. The lesion was diagnosed as a prolapse of inverted ileal loops through the PVID. The child had no associated congenital anomalies. A transumbilical exploration was performed, followed by wedge resection and anastomosis. The child tolerated the procedure well and the postoperative course was uneventful. If the omphalomesenteric duct fails to obliterate a range of congenital defects related to the umbilicus, it can become clinically apparent. Meckel's diverticulum is the commonest of these defects but is most often asymptomatic. PVID is the most common symptomatic anomaly of the patent omphalomesenteric duct and requires prompt surgical correction to avoid complications.

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Section: Discussionmentioning

confidence: 96%

Prolapse of inverted ileal loops through a patent vitellointestinal duct

Pathak¹,

Agarwal

Singh

et al. 2015

BMJ Case Reports

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“…In approximately 2% of humans the remnants of the duct persist in the form of a spectrum of which Meckel's diverticulum is the commonest and patent vitellointestinal duct is the rarest 1 3…”

Section: Discussionmentioning

confidence: 99%

“…Massive lower gastrointestinal bleeding secondary to a vitellointestinal sinus containing ectopic gastric mucosa is rare in adolescents 3 4. During embryonic life, the vitellointestinal duct connects the yolk sac to the intestinal tract and usually it obliterates by the sixth week of life.…”

Section: Introductionmentioning

confidence: 99%

“…During embryonic life, the vitellointestinal duct connects the yolk sac to the intestinal tract and usually it obliterates by the sixth week of life. If the vitellointestinal duct persists, various congenital anomalies develop, leading to patent vitellointestinal duct, obliterated fibrous cord, umbilical sinus at the outer end, enterocyst in the centre and, most commonly, Meckel’s diverticulum on the intestinal end 1 3 5. We describe a case of latent vitellointestinal duct sinus towards intestinal end, which has not been described earlier in the literature, with a unique ectopic gastric adenoma mass just below the umbilicus presenting with recurrent massive lower gastrointestinal bleeding.…”

Section: Introductionmentioning

confidence: 99%

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Latent vitellointestinal duct sinus presenting with massive lower gastrointestinal bleeding in an adolescent

Patel

Evans

et al. 2014

BMJ Case Reports

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A 12-year-old boy with a history, at birth, of a weeping pink fleshy lesion after his umbilical cord detached, requiring repeated chemical cauterisation, presented with massive lower gastrointestinal bleeding and required resuscitation and blood transfusion. Augmented Tc99m nuclear medicine scan confirmed ectopic gastric mucosa. The lateral view suggested its attachment behind the umbilicus. At exploration, a latent vitellointestinal duct sinus with ectopic gastric mucosal mass was found. Segmental resection of the sinus and mass excision with primary anastomosis and incidental appendicectomy was curative. Pink fleshy mass discharging coloured fluid at the umbilicus following detachment of umbilical cord should be considered a remnant of vitellointestinal duct unless proved otherwise. A pink lesion with yellowish discharge resistant to chemical cauterisation should raise the suspicion of embryonic structures. Latent vitellointestinal sinus is a new lesion in the spectrum of umbilical anomalies. Lateral view of the nuclear medicine scan is helpful in locating the site.

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“…Failure to obliterate may lead to variety of congenital anomalies including; Meckel's diverticulum, vitelline cord, umbilical sinus, enteric fistula and or haemorrhagic umbilical mass [1][2][3][4]. To date only 15 cases have been reported in the English medical literature [5][6][7][8][9][10][11][12][13][14][15]. Moreover, to the best of our knowledge there is no reported case of a new born presenting with patent VID with prolapsed (intussusceptions) of proximal and distal ileal loop.…”

Section: Discussionmentioning

confidence: 99%

Patent Vitellointestinal Duct with Inverted Ileal Loop Prolapse with Strangulation at Birth in Preterm (34 Weeks): A Rare Presentation

Raheja¹,

Aggarwal²,

Prakash³

et al. 2017

Surgery

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Journal of Surgery IntroductionDuring the fifth to seventh week of gestation, midgut enlarges rapidly and as it becomes too large for the abdominal cavity, it herniates through the umbilical cord. The apex of the herniated midgut is continuous with VID and yolk sac. Superior mesenteric artery forms the axis of this herniated midgut. Around tenth week of gestation herniated midgut returns back into the peritoneal cavity [1,2]. During this complex developmental process several anomalies may occur because of the complexity of the process. Examples include bowel atresias and stenoses, abnormalities of the vitellointestinal duct (Meckel's diverticulum, patent vitellointestinal duct (PVID), umbilical fistulas, umbilical sinus tracts, umbilical cysts and umbilical polyps), failure of ceacal descent, malrotation, malfixation, reversed bowel rotation and exomphalos [1][2][3]. VID is more common in males and mostly presents in first 28 days of life. This anomaly needs to be managed urgently to prevent gangrene. Case PresentationA male neonate delivered via LSCS (CAUSE-PREVIOUS LSCS) which was unbooked delivery 34 weeks with LMP-3/12/16 and EDD-10/9/17 WITH G4P3L3A1 was admitted in Yashoda Hospital, Ghazaibad, U.P. Baby was born at preterm. Antenatal scans were reported to be abnormal showing anterior wall depressed-pouch and part of intestine coming out from umbilicus. Birth weight was 2250 g and Apgar scores were 8/1, 9/1, 10/10. On examination at birth, newborn was having respiratory distress and grunting, so oxygen was started immediately and chest x-ray and arterial blood gas (ABG) was done. Chest x-ray showed grade 2 Hyaline Membrane Disease (HMD) and ABG showed respiratory acidosis, for which child was intubated and ventilated, also received surfactant. Abdominal examination revealed a bright red 'Y' shaped loop of small intestine was protruding from the umbilical ring. It was fixed to the umbilicus, with easily bleeding mucosa and irreducibility. Rest of the abdomen was not distended non tender (Figures 1 and 2). Bowel sounds were absent. There was no bilious aspirate in the orogastric tube. Anal opening was normally placed and patent, however, he had not passed any meconium. Patient had passed clear urine twice and the bladder was not palpable. Rest of the systemic examination was normal. AbstractPatent vitellointestinal duct (VID) can present to us in many variety of congenital intestinal malformations. Patient presents with either anomaly alone or complications secondary to the anomaly. Most common reported anomaly of residual vitelline duct is Meckel's diverticulum with different presentations like bleeding, intestinal obstruction or diverticulitis. Prolapsed ileal loops through a patent VID is a rare presentation of the above. To date only fifteen cases of this presentation have been reported in the English medical literature but none reported in a premature newborn baby presenting with it from the time of birth, which to the best of our knowledge has not been reported before and therefore this the youngest r...

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Neonatal prolapsed patent vitellointestinal duct

Cited by 11 publications

References 9 publications

Prolapse of inverted ileal loops through a patent vitellointestinal duct

Prolapse of inverted ileal loops through a patent vitellointestinal duct

Latent vitellointestinal duct sinus presenting with massive lower gastrointestinal bleeding in an adolescent

Patent Vitellointestinal Duct with Inverted Ileal Loop Prolapse with Strangulation at Birth in Preterm (34 Weeks): A Rare Presentation

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