A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an Adult
The omphalomesenteric canal (OMC) is an important embryonic structure that normally regresses during development. OMC remnant persistance is rare and can lead to complications such as small intestinal obstruction. We report the case of an 18-year-old male with flu-like symptoms, abdominal pain, fev...
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| Language: | English |
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Vilnius University Press
2024-12-01
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| Series: | Acta Medica Lituanica |
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| Online Access: | https://ojs.test/index.php/AML/article/view/34945 |
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| author | Camille Tonneau Jerome Herve Benjamin Nebbot Olivier Cappeliez Sanjiva Pather Thomas Saliba |
| author_facet | Camille Tonneau Jerome Herve Benjamin Nebbot Olivier Cappeliez Sanjiva Pather Thomas Saliba |
| author_sort | Camille Tonneau |
| collection | DOAJ |
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The omphalomesenteric canal (OMC) is an important embryonic structure that normally regresses during development. OMC remnant persistance is rare and can lead to complications such as small intestinal obstruction. We report the case of an 18-year-old male with flu-like symptoms, abdominal pain, fever, and a positive McBurney sign. A CT scan raised the suspicion of occlusion, prompting surgery, revealing a fibrous band from the umbilicus to the mesocolon around which the right colon and caecum were wrapped. OMC anomalies are generally encountered in children, with a large spectrum of possibilities causing various problems. Diagnosis is challenging, with symptoms often mimicking other conditions, often necessitating surgery to obtain a definitive diagnosis. Intestinal obstruction is a severe complication, necessitating urgent surgical resection. Radiological imaging mainly serves to prompt surgical intervention as it is limited in directly visualizing fibrous bands, with surgery remaining the best way to obtain a diagnosis, as well as allowing concomitant treatment.
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| format | Article |
| id | doaj-art-f87bbf9e2bee4dddb5e2af241136e970 |
| institution | Kabale University |
| issn | 1392-0138 2029-4174 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Vilnius University Press |
| record_format | Article |
| series | Acta Medica Lituanica |
| spelling | doaj-art-f87bbf9e2bee4dddb5e2af241136e9702025-01-03T06:29:11ZengVilnius University PressActa Medica Lituanica1392-01382029-41742024-12-0131210.15388/Amed.2024.31.2.1A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an AdultCamille Tonneau0Jerome Herve 1Benjamin Nebbot2Olivier Cappeliez3https://orcid.org/0000-0002-0652-1048Sanjiva Pather4https://orcid.org/0000-0002-2574-591XThomas Saliba5https://orcid.org/0000-0001-6989-9577Hopital de Braine L'Alleud, Braine L'Alleud, BelgiumHopital de Braine L'Alleud, Braine L'Alleud, BelgiumHopital de Braine L'Alleud, Braine L'Alleud, BelgiumHopital de Braine L'Alleud, Braine L'Alleud, BelgiumHopital de Braine L'Alleud, Braine L'Alleud, BelgiumHopital de Braine L'Alleud, Braine L'Alleud, Belgium The omphalomesenteric canal (OMC) is an important embryonic structure that normally regresses during development. OMC remnant persistance is rare and can lead to complications such as small intestinal obstruction. We report the case of an 18-year-old male with flu-like symptoms, abdominal pain, fever, and a positive McBurney sign. A CT scan raised the suspicion of occlusion, prompting surgery, revealing a fibrous band from the umbilicus to the mesocolon around which the right colon and caecum were wrapped. OMC anomalies are generally encountered in children, with a large spectrum of possibilities causing various problems. Diagnosis is challenging, with symptoms often mimicking other conditions, often necessitating surgery to obtain a definitive diagnosis. Intestinal obstruction is a severe complication, necessitating urgent surgical resection. Radiological imaging mainly serves to prompt surgical intervention as it is limited in directly visualizing fibrous bands, with surgery remaining the best way to obtain a diagnosis, as well as allowing concomitant treatment. https://ojs.test/index.php/AML/article/view/34945omphalomesenteric duct abdominal surgeryemergencyadultocclusioncase report |
| spellingShingle | Camille Tonneau Jerome Herve Benjamin Nebbot Olivier Cappeliez Sanjiva Pather Thomas Saliba A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an Adult Acta Medica Lituanica omphalomesenteric duct abdominal surgery emergency adult occlusion case report |
| title | A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an Adult |
| title_full | A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an Adult |
| title_fullStr | A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an Adult |
| title_full_unstemmed | A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an Adult |
| title_short | A Case of a Fibrous Omphalomesenteric Duct Remnant Causing an Intestinal Obstruction in an Adult |
| title_sort | case of a fibrous omphalomesenteric duct remnant causing an intestinal obstruction in an adult |
| topic | omphalomesenteric duct abdominal surgery emergency adult occlusion case report |
| url | https://ojs.test/index.php/AML/article/view/34945 |
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