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...

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Main Authors: SaraPettey Sandifer, Afif N. Kulaylat, Sara Mola, Aodhnait S Fahy
Format: Article
Language:English
Published: Elsevier 2023-11-01
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.
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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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AT saramola omphalocelewithintestinalprolapsethroughapatentomphalomesentericductacasereport
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