Omphalocele with intestinal prolapse through a patent omphalomesenteric duct: A case report
Introduction: The combination of a patent omphalomesenteric duct in the setting of an omphalocele is rare and has an unusual physical appearance on presentation. Case presentation: We share the case of a neonate who presented with omphalocele and a concurrent patent omphalomesenteric duct with intes...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
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Elsevier
2023-11-01
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Series: | Journal of Pediatric Surgery Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623001483 |
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author | SaraPettey Sandifer Afif N. Kulaylat Sara Mola Aodhnait S Fahy |
author_facet | SaraPettey Sandifer Afif N. Kulaylat Sara Mola Aodhnait S Fahy |
author_sort | SaraPettey Sandifer |
collection | DOAJ |
description | Introduction: The combination of a patent omphalomesenteric duct in the setting of an omphalocele is rare and has an unusual physical appearance on presentation. Case presentation: We share the case of a neonate who presented with omphalocele and a concurrent patent omphalomesenteric duct with intestinal prolapse. We report the early diagnosis and operative management of this presentation with intestinal resection and anastomosis, and primary closure of the omphalocele. The patient had no other abnormalities and after uncomplicated recovery, was able to discharge uneventfully tolerating oral feeds. Conclusion: Because the initial appearance of a patent omphalomesenteric duct in an omphalocele is unusual with visible bowel mucosa and an intact omphalocele membrane, this variation of an abdominal wall defect is at risk of being misdiagnosed as a ruptured omphalocele, gastroschisis, or another complex abdominal wall defect. Expeditious surgical management is indicated. |
first_indexed | 2024-03-11T18:28:51Z |
format | Article |
id | doaj.art-56d061b301a44740ba96560425141809 |
institution | Directory Open Access Journal |
issn | 2213-5766 |
language | English |
last_indexed | 2024-03-11T18:28:51Z |
publishDate | 2023-11-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Pediatric Surgery Case Reports |
spelling | doaj.art-56d061b301a44740ba965604251418092023-10-13T13:53:45ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-11-0198102722Omphalocele with intestinal prolapse through a patent omphalomesenteric duct: A case reportSaraPettey Sandifer0Afif N. Kulaylat1Sara Mola2Aodhnait S Fahy3Pennsylvania State University College of Medicine, Pennsylvania, USADivision of Pediatric Surgery, Penn State Health Milton S. Hershey Medical Center, Pennsylvania, USADivision of Neonatology, Penn State Health Milton S Hershey Medical Center, Pennsylvania, USADivision of Pediatric Surgery, Penn State Health Milton S. Hershey Medical Center, Pennsylvania, USA; Corresponding author. Division of Pediatric Surgery, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, USA.Introduction: The combination of a patent omphalomesenteric duct in the setting of an omphalocele is rare and has an unusual physical appearance on presentation. Case presentation: We share the case of a neonate who presented with omphalocele and a concurrent patent omphalomesenteric duct with intestinal prolapse. We report the early diagnosis and operative management of this presentation with intestinal resection and anastomosis, and primary closure of the omphalocele. The patient had no other abnormalities and after uncomplicated recovery, was able to discharge uneventfully tolerating oral feeds. Conclusion: Because the initial appearance of a patent omphalomesenteric duct in an omphalocele is unusual with visible bowel mucosa and an intact omphalocele membrane, this variation of an abdominal wall defect is at risk of being misdiagnosed as a ruptured omphalocele, gastroschisis, or another complex abdominal wall defect. Expeditious surgical management is indicated.http://www.sciencedirect.com/science/article/pii/S2213576623001483OmphalocelePatent omphalomesenteric ductIleal prolapseCase report |
spellingShingle | SaraPettey Sandifer Afif N. Kulaylat Sara Mola Aodhnait S Fahy Omphalocele with intestinal prolapse through a patent omphalomesenteric duct: A case report Journal of Pediatric Surgery Case Reports Omphalocele Patent omphalomesenteric duct Ileal prolapse Case report |
title | Omphalocele with intestinal prolapse through a patent omphalomesenteric duct: A case report |
title_full | Omphalocele with intestinal prolapse through a patent omphalomesenteric duct: A case report |
title_fullStr | Omphalocele with intestinal prolapse through a patent omphalomesenteric duct: A case report |
title_full_unstemmed | Omphalocele with intestinal prolapse through a patent omphalomesenteric duct: A case report |
title_short | Omphalocele with intestinal prolapse through a patent omphalomesenteric duct: A case report |
title_sort | omphalocele with intestinal prolapse through a patent omphalomesenteric duct a case report |
topic | Omphalocele Patent omphalomesenteric duct Ileal prolapse Case report |
url | http://www.sciencedirect.com/science/article/pii/S2213576623001483 |
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