Rare spontaneous regression of patent omphalomesenteric duct after birth

Kurzbart, E.; Zeitlin, Michael P.; Feigenbaum, Dana F.; A, Zaritzky; Cohen, Zvi; Mares, Abraham J.

doi:10.1136/fn.86.1.f63

Cited by 18 publications

(11 citation statements)

References 1 publication

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“…Intraluminal contrast injection and X-ray imaging revealed a patent omphalomesenteric duct. When this infant underwent an umbilical hernia repair 3 months later, this duct had spontaneously regressed; however, an MD attached to mesentery was found and resected 10. This proved a mesenteric variant of the MD could result from the failure of omphalomesenteric duct regression.…”

Section: Discussionmentioning

confidence: 82%

“…It comprises all five layers of the bowel wall, possesses its own blood supply and is invariably within 100 cm proximal to the ileocaecal valve. While classically located on the antimesenteric border of the ileum, the mesenteric variant was first described by Chaffin et al in 19415 and has since been the subject of several case reports 6–17. Some experts contend that these cases should actually be classified as IDCs.…”

Section: Discussionmentioning

confidence: 99%

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Adult intussusception associated with mesenteric Meckel’s diverticulum and antimesenteric ileal polyp

et al. 2019

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Meckel’s diverticulum is the most common congenital abnormality affecting the gastrointestinal tract, affecting 4% of the general population. It is classically located on the antimesenteric border of the ileum within 100 cm of the ileocaecal valve. Complications may include haemorrhage, bowel obstruction, diverticulitis, perforation and malignancy. This report explores the case of intussusception in an adult, in association with a mesenteric Meckel’s diverticulum and adjacent benign polyp. A 40-year-old man presented with acute abdominal pain, affecting the central abdomen and both flanks. CT imaging revealed small bowel intussusception, with either a Meckel’s diverticulum or polyp acting as a lead point. Intraoperatively, the intussusception had already resolved; however, an inflamed outpouching was identified on the mesenteric border of the ileum, with a firm mass palpable within the bowel lumen. A 70 mm small bowel resection and primary anastomosis were performed. Histopathological analysis confirmed an inflamed Meckel’s diverticulum as well as an adjacent diverticulum comprising a benign polyp.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Adult intussusception associated with mesenteric Meckel’s diverticulum and antimesenteric ileal polyp

et al. 2019

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“…However, at 3 months of age, the infant underwent an umbilical hernia repair with no identification of any omphalomesenteric structure. Interestingly, a MD adherent to the mesentery was identified 40 cm proximal to the ileocaecal valve 17. This was a significant finding, as the differentiating factor between mesenteric MD and intestinal duplication cyst is that the prior is an omphalomesenteric canal remnant 9…”

Section: Discussionmentioning

confidence: 87%

“…It was first postulated by Chaffin et al that mesenteric MD results secondary to traction of a persistent vitelline artery 4. Currently, there have been nine reports with reference to mesenteric MD identified on PubMed and Google Scholar literature review 7–15 17…”

Section: Discussionmentioning

confidence: 99%

Mesenteric Meckel's diverticulum: an unusual cause of small bowel intussusception

et al. 2016

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Meckel's diverticulum (MD) is the commonest congenital anomaly of the small intestine, affecting 1-4% of the population. Cardinal features emphasise an antimesenteric location two feet proximal to the ileocaecal valve, with a separate mesenteric blood supply and involvement of all layers of the small intestine. However, reports of MD arising from the mesenteric border of the small intestine are rare in the surgical literature. This report examines the case of a 45-year-old woman presenting with a 6-month history of episodic central abdominal pain and microcytic anaemia who underwent an elective diagnostic laparoscopy as initial CT findings were inconclusive. Intraoperatively, she was found to have small bowel intussusception approximately 40 cm proximal to the ileocaecal valve. Macroscopic examination of the resected small bowel segment revealed a mesenteric outpouching that was confirmed as mesenteric MD on histopathological analysis. Postoperatively, the patient recovered with no surgical complications and full symptom resolution.

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“…• De rares cas de régression spontanée de la fistule ont été décrits avec transformation en un diverticule de Meckel [2,5].…”

Section: Discussionunclassified

Fistule omphalo-mésentérique compliquée : à propos d’une nouvelle observation

Khmou

Lamalmi

Mahdi

et al. 2014

J Afr Hepato Gastroenterol

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La fistule omphalo-mésentérique est une anomalie congénitale exceptionnelle en rapport avec la persistance complète du canal omphalo-mésentérique sur tout son trajet. Le diagnostic est posé par les données cliniques et la fistulographie sans avoir recours à d'autres examens complémentaires. Bien qu'une faible proportion de cette malformation se complique, le traitement chirurgical pré-coce est nécessaire.Nous présentons à travers cette observation, les aspects physiopathologiques, clinico-radiologiques de la fistule omphalomésentérique, et citerons les différents aspects évolutifs. Mots clés Canal omphalo-mésentérique · Fistule · Évagination · Hétérotopie gastriqueAbstract Omphalomesenteric fistula is an exceptional congenital anomaly related to complete persistence of the omphalomesenteric duct. Diagnostis is based on clinical and fistulographic findings. Even though complications are rare, treatment of patent omphalo-mesenteric must be precocious. We report a rare observation of patent omphalo-mesenteric duct and discuss the pathogenesis, clinical and radiological findings of this pathology.

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Rare spontaneous regression of patent omphalomesenteric duct after birth

Cited by 18 publications

References 1 publication

Adult intussusception associated with mesenteric Meckel’s diverticulum and antimesenteric ileal polyp

Adult intussusception associated with mesenteric Meckel’s diverticulum and antimesenteric ileal polyp

Mesenteric Meckel's diverticulum: an unusual cause of small bowel intussusception

Fistule omphalo-mésentérique compliquée : à propos d’une nouvelle observation

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