Inverted Proximal Ileal Loop Prolapse with Ileal Rupture through a Patent Omphalomesenteric Duct: A Rare Case
DOI:
https://doi.org/10.3889/oamjms.2019.130Keywords:
Ileal Prolapse, Ileal Rupture, Patent Omphalomesenteric Duct, Patent Vitelline DuctAbstract
BACKGROUND: Prolapse of the small intestine through the umbilicus is indeed a rare presentation and is the most significant complication of the patent omphalomesenteric duct which requires pediatric surgical emergency due to its significant increase of mortality. To date, it is less than twenty cases of this presentation have been reported in medical literature. We are reporting a case of the same in an infant presenting with it on 1st week after he was delivered, but was followed by ileal rupture as well.
CASE PRESENTATION: We present a case of a patent omphalomesenteric duct with ileal prolapse and ileal rupture as its complication. It is a case of a 1-year-old infant with a history of unusual bleed-on-touch mass emerging from the anterior abdominal wall with absent umbilicus. Once his condition is stabilised, he underwent a reduction of the prolapsed bowel along with complete excision of the omphalomesenteric duct and restoration of the ileal continuity. Post-operatively he regained normal bowel function and resumed breastfeeding 5 days after surgery.
CONCLUSION: This case is an important addition to the literature about patent omphalomesenteric duct with complications of inverted proximal ileal loop prolapse and ileal rupture.
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Fazal FA, Ndungu JM, Said H, Njiru J, Kambuni F. New-born born with patent vitellointestinal duct with prolapsed (intussusceptions) of proximal and distal ileal loop: A case presentation. Kenya: Journal of Pediatric Surgery Case Reports. 2017; 20:14–6. https://doi.org/10.1016/j.epsc.2017.02.014
Pauleau G, Commandeur D, Andro C, Chapellier X. Intestinal prolapse through a persistent omphalomesenteric duct causing small-bowel obstruction. France: South African Journal of Surgery. 2012; 50(3). https://doi.org/10.7196/sajs.1289 PMid:22856450
Khan YA, Qureshi MA, Akhtar J. Omphalomesenteric duct cyst in an omphalocele: A rare association. Kuwait: Pakistan Journal of Medical Sciences. 2013; 29(3). https://doi.org/10.12669/pjms.293.3581
Mohite PN, Bhatnagar AM, Hathila VP, Mistry JH. Patent vitellointestinal duct with prolapse of inverted loop of small intestine: a case report. India: Journal of Medical Case Reports. 2007; 1(1). https://doi.org/10.1186/1752-1947-1-49 PMid:17629924 PMCid:PMC1948009
Mundada DD, Kapadnis SP. Patent vitellointestinal duct with prolapsed (intussusceptions) of proximal and distal ileal loop: A case report. India: Journal of Pediatric Surgery Case Reports. 2015; 3(2):72–4. https://doi.org/10.1016/j.epsc.2014.12.008
Robelie AT, Gebremedhin PK. Patent vitelline duct with gangrenous small bowel prolapse: case report and review of literature. Ethiopian Medical Journal. 2015; 52(4).
Durakbasa CU, Okur H, Mutus HM, Bas A, Ozen MA, Sehiralti V, et al. Symptomatic omphalomesenteric duct remnants in children: Omphalomesenteric remnants. Istanbul: Pediatrics International. 2009; 52(3):480–4. https://doi.org/10.1111/j.1442-200X.2009.02980.x PMid:19863751
Bertozzi M, Recchia N, Di Cara G, Riccioni S, Rinaldi VE, Esposito S, et al. Ultrasonographic diagnosis and minimally invasive treatment of a patent urachus associated with a patent omphalomesenteric duct in a newborn: A case report. Medicine. 2017; 96(30):e7087.
Raveenthiran V. Carbimazole embryopathy and choanal atresia. Journal of neonatal surgery. 2014; 3(1).
Seid, NA and Seman, EA. Double Intussusception of Ileum Through Patent Vitellointestinal Duct: Case Report. Ethiopia: Journal of Surgery. 2016; 4(2):24.
Kadian, YS. Patent vitellointestinal duct with inverted ileal loop prolapse: A rare presentation. India: Oncology, Gastroenterology and Hepatology Reports. 2015; 4(2):95. https://doi.org/10.4103/2348-3113.152328
Lone YA, Bawa M, Sundaram J, Rao K. Omphalocele with Double Prolapse of Ileum through Patent Vitellointestinal Duct: A Rare Presentation. Chandigarh: Journal of the Korean Association of Pediatric Surgeons. 2015; 21(1):14. https://doi.org/10.13029/jkaps.2015.21.1.14
Dipak N, Parab S, Dande V, Rao S. Umbilical mass resembling ram's horn: An unusual presentation. Mumbai: Journal of Clinical Neonatology. 2017; 6(1):40. https://doi.org/10.4103/2249-4847.199755
Piparsaliya S, Joshi M, Rajput N, Zade P. Patent Vitellointestinal Duct: A Close Differential Diagnosis of Umbilical Granuloma: A Case Report and Review of Literature. Indore: Surgical Science. 2011; 02(03):134–6. https://doi.org/10.4236/ss.2011.23027
Sandlas, G. Latent vitello-intestinal duct in an infant: Unique presentation with trans-umbilical retrograde post-operative intussusception following cardiac surgery. Mumbai: Journal of Pediatric Surgery Case Reports. 2016; 11:14–6. https://doi.org/10.1016/j.epsc.2016.05.008
Guner A, Kece C, Boz A, Kahraman I, Reis E. A rare cause of small bowel obstruction in adults: persistent omphalomesenteric duct. Trabzon: Turkish Journal of Trauma and Emergency Surgery. 2012; 18(5):446–8. https://doi.org/10.5505/tjtes.2012.77609
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Copyright (c) 2019 Handayani Handayani, Yamoguna Zega, Tati Ziliwu, Faldi Yaputra, Nora Minori
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