Patent Vitelline Duct Sinus: An Unusual Presentation (original) (raw)
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Patent vitelline duct as a cause of acute abdomen: Case report of an adult patient
Turkish Journal of …, 2011
Vitelline duct malformations comprise a wide spectrum of anatomical structures and associated symptoms. They may range from a completely patent vitelline duct (PVD) at the umbilicus to a variety of lesser remnants, including cysts, fibrous cords connecting the umbilicus to the distal ileum, granulation tissue at the umbilicus, umbilical hernia, or Meckel's diverticulum (1). Here, we report a case of PVD in a 23-year-old man, which caused acute abdominal pain and intestinal obstruction. CASE REPORT A 23-year-old man was admitted to our emergency unit in 2008. He suffered from abdominal pain, fever of 38.5°C, nausea and vomiting, constipation, no passage of gas or feces, and abdominal distension for three days. The patient's history revealed that he had been followed in another center for a diagnosis of omphalitis, and cauterization with a silver nitrate pen had been performed. There was no history of hospitalization due to acute abdomen. Furthermore, the white discharge from the prolapsed region had been present since childhood. Laboratory investigations showed: blood urea nitrogen, 38 mg/dl (5-23); creatinine, 1.7 mg/dl (0.6-1.2); and C-reactive protein, 58 mg/l (0-0.5).
Indian Journal of Surgery, 2019
The persistence of embryonic vitelline duct occurs in about 2% of the population. Patent vitellointestinal duct (VID) is a rare condition in adults. This anomaly may remain asymptomatic throughout life or may present with umbilical sinus, abscess, fistula, intussusception, and various other intraabdominal complications. We present here an interesting case of 32-year-old man with patent VID presenting as paraumbilical abscess along with intestinal obstruction caused by marked inflammatory changes and adhesion. This patient was managed successfully with excision of the entire duct along with the wedge of ileal attachment. Such rare presentation in an adult has not been reported earlier to the best of our knowledge. Simple incision and drainage of abscess without excision of patient VID would not result in complete treatment of this condition. Therefore, surgeons and radiologists should have high index of suspicion of this uncommon presentation as it is likely to be missed.
Patent vitellointestinal duct with prolapse of inverted loop of small intestine: a case report
Journal of Medical Case Reports, 2007
A wide variety of anomalies may occur as a result of the vitellointestinal duct (VID) failing to obliterate completely. Most reports on symptomatic VID focus on Meckel's diverticulum, while other anomalies are given little attention. We report a case of a baby of five months who had an intestinal loop inverted through a patent VID. The inverted loop was reduced and ileostomy was done which was closed after 6 weeks.
Patent Vitello - Intestinal Duct: A Case Report
Journal of Nepal Paediatric Society, 2021
A wide variety of anomalies may occur as a result of the vitellointestinal duct (VID) failing to obliterate completely. These anomalies occur in approximately 2% of the population and may remain silent throughout life or may present incidentally with an intra-abdominal complication. Complete patency of vitello-intestinal duct is the rarest of all the anomalies of VID. We report a case of 27 day old female presenting with pinkish umbilical mass since birth referred to us by a paediatrician as umbilical granuloma, which turned out to be patent vitellointestinal duct.
Vitelline duct pathologies in neonates
Northern Clinics of Istanbul, 2017
OBJECTIVE: The aim of this study was to review the management of pediatric cases of vitelline duct pathology (VDP) detected surgically or incidentally during the neonatal period and the outcomes. METHODS: The data of newborns who were symptomatic and underwent VDP resection or who were incidentally diagnosed with VDP at a single institution between 1985 and 2015 were retrospectively analyzed in terms of age, sex, clinical features, treatment, perioperative findings, ectopic tissue pathology, and postoperative follow-up information. RESULTS: Among the 36 newborns enrolled in this study, 26 were male and 10 were female (2.6:1). The median weight was 2400 g (range: 800-3090 g). In 16 cases (14 males and 2 females; 7:1) the VDP was surgically repaired. Pathological evaluation indicated that 43% (n=7) of the cases had ectopic gastric mucosa. VDP was incidentally discovered in 12 males and 8 females (1.5:1). VDP was removed in 10 cases (50%) and left intact in others. Ectopic gastric mucosa was observed in 10% of the VDP removal cases. Ectopic gastric tissue was more prevalent in the surgical VDP cases than in the incidentally discovered and VDP removal cases (p<0.05). Male predominance was greater in the surgically repaired cases than in the incidentally discovered cases (p<0.05). One patient whose VDP was discovered incidentally was admitted 3 years later with obstruction due to intussusception caused by Meckel's diverticulum, and 1 patient was admitted with rectal bleeding at 11 years of age. CONCLUSION: Symptomatic VDP in the newborn demonstrates a significant gender difference. Symptomatic cases are more likely to have ectopic gastric tissue than non-symptomatic cases. Incidentally detected cases without removal should be followed closely for future complications.
Journal of Pediatric Surgery Case Reports, 2017
Failure of obliteration of vitellointestinal duct (VID) can present with a wide variety of congenital intestinal malformations. Patient can present with the anomaly itself or due to complications secondary to the anomaly like intestinal obstruction due to volvulus, intussusception or adhesions. Prolapsed ilial loops through a patent VID is a rare presentation of the above. To date only fourteen cases of this presentation have been reported in the English medical literature. We are reporting a case of the same in a newborn 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 reported case of its nature in the current English medical literature.
Sialographic findings in Wharton duct evagination
Dentomaxillofacial Radiology, 2009
Ductal evagination is a rare condition affecting the Wharton duct. The aim of this study was to establish the incidence, imaging features and clinical significance of ductal evagination in patients undergoing submandibular gland sialography. The sialographic findings and reports of 322 patients undergoing submandibular gland sialography during the period 1998-2007 were retrospectively reviewed. Ductal evagination was identified on sialograms as a unique diverticulum, filled with contrast medium, of the Wharton duct, with a narrow neck and a blind end. A ductal evagination was found in 5/322 patients with swelling and pain in the submandibular gland. It was always located in the middle tract of the Wharton duct. Other findings were: in 5/5 patients, an enlargement of the primary and secondary ducts due to sialodochitis; in 3/5 patients, salivary stones; in 1/5 patients, a sinuous distal tract of the Wharton duct; in 2/5 patients, a stenosis of the proximal tract of the Wharton duct. In our series, the incidence of wharton duct evagination was 1.6% incidence. It may represent a form of duct wall weakness although its cause is uncertain. It is, however, a condition that needs to be highlighted on sialograms for eventual inflammatory consequences or in guiding sialoendoscopy to avoid eventual ductal perforation.