Omphalomesenteric Fistula Presenting with Meconium Discharge from the Umbilicus

The omphalomesenteric duct is an embryologic connection between the midgut and yolk sac, which typically disappears at 5th to 7th week of gestation. Failure of the obliteration process can lead to omphalomesenteric duct remnants. We report a case of a neonate with a patent omphalomesenteric duct fis...

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Main Authors: Yun-Hee Lee, Ka Hyun Lee, Ji-Won Han, Su Jin Cho
Format: Article
Language:English
Published: Ewha Womans University College of Medicine 2021-07-01
Series:The Ewha Medical Journal
Subjects:
Online Access:http://www.e-emj.org/archive/view_article?pid=emj-44-3-84
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author Yun-Hee Lee
Ka Hyun Lee
Ji-Won Han
Su Jin Cho
author_facet Yun-Hee Lee
Ka Hyun Lee
Ji-Won Han
Su Jin Cho
author_sort Yun-Hee Lee
collection DOAJ
description The omphalomesenteric duct is an embryologic connection between the midgut and yolk sac, which typically disappears at 5th to 7th week of gestation. Failure of the obliteration process can lead to omphalomesenteric duct remnants. We report a case of a neonate with a patent omphalomesenteric duct fistula opening to the umbilicus presenting with meconium sprouting from the umbilical stump. Segmental resection of the ileum and end to end anastomosis were conducted. The patient was discharged on the 8th postoperative day without any complications, and no abnormalities were observed at the outpatient clinic follow-up up to 5 months after surgery. Here we describe the case and a review of the literature.
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institution Kabale University
issn 2234-3180
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language English
publishDate 2021-07-01
publisher Ewha Womans University College of Medicine
record_format Article
series The Ewha Medical Journal
spelling doaj-art-21d6937290074bca9197e89ee7e3cf8a2024-12-16T08:43:15ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-31802234-25912021-07-01443848810.12771/emj.2021.44.3.84emj-44-3-84Omphalomesenteric Fistula Presenting with Meconium Discharge from the UmbilicusYun-Hee LeeKa Hyun LeeJi-Won HanSu Jin ChoThe omphalomesenteric duct is an embryologic connection between the midgut and yolk sac, which typically disappears at 5th to 7th week of gestation. Failure of the obliteration process can lead to omphalomesenteric duct remnants. We report a case of a neonate with a patent omphalomesenteric duct fistula opening to the umbilicus presenting with meconium sprouting from the umbilical stump. Segmental resection of the ileum and end to end anastomosis were conducted. The patient was discharged on the 8th postoperative day without any complications, and no abnormalities were observed at the outpatient clinic follow-up up to 5 months after surgery. Here we describe the case and a review of the literature.http://www.e-emj.org/archive/view_article?pid=emj-44-3-84vitelline ductfistulameckel diverticulumumbilicusinfant, newborn
spellingShingle Yun-Hee Lee
Ka Hyun Lee
Ji-Won Han
Su Jin Cho
Omphalomesenteric Fistula Presenting with Meconium Discharge from the Umbilicus
The Ewha Medical Journal
vitelline duct
fistula
meckel diverticulum
umbilicus
infant, newborn
title Omphalomesenteric Fistula Presenting with Meconium Discharge from the Umbilicus
title_full Omphalomesenteric Fistula Presenting with Meconium Discharge from the Umbilicus
title_fullStr Omphalomesenteric Fistula Presenting with Meconium Discharge from the Umbilicus
title_full_unstemmed Omphalomesenteric Fistula Presenting with Meconium Discharge from the Umbilicus
title_short Omphalomesenteric Fistula Presenting with Meconium Discharge from the Umbilicus
title_sort omphalomesenteric fistula presenting with meconium discharge from the umbilicus
topic vitelline duct
fistula
meckel diverticulum
umbilicus
infant, newborn
url http://www.e-emj.org/archive/view_article?pid=emj-44-3-84
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AT kahyunlee omphalomesentericfistulapresentingwithmeconiumdischargefromtheumbilicus
AT jiwonhan omphalomesentericfistulapresentingwithmeconiumdischargefromtheumbilicus
AT sujincho omphalomesentericfistulapresentingwithmeconiumdischargefromtheumbilicus