Patent omphalomesenteric duct: a case report and review of Japanese literature.
Patent omphalomesenteric duct (umbilical enteric fistula) was diagnosed in a 7-day-old infant. The duct closed spontaneously, but at the age of 4 months the infant was readmitted for a resection of the duct. A review of the literature disclosed that 65 cases of patent omphalomesenteric duct have been reported in Japan. The male/female ratio was 2.8:1. Ten out of 36 infants (27.8%) were premature. Surgery was performed in as many patients as possible--55 out of 59 cases (93.2%). The ducts averaged 3.8 cm in length and 1.1 cm in diameter. Errant gastric mucosa was found in 3 out of 30 cases (10.0%). Prolapse of the ileum was present in 28 out of 53 patients (52.8%)--a relatively high incidence. Ten out of 55 patients died (18.2%); 8 of these had a prolapse of the ileum. In view of the high mortality rate of patients with a prolapse of the ileum and the strong possibility of intestinal obstruction, patent omphalomesenteric ducts should be resected surgically.
Yamada
T
T
Seiki
Y
Y
Ueda
M
M
Yoshikawa
T
T
Sempuku
S
S
Kurokawa
A
A
Nakata
K
K
D005260:Female; D005402:Fistula / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D007412:Intestinal Fistula / Q000175:diagnosis; D007564:Japan; D008297:Male; D014472:Umbilicus; D014816:Vitelline Duct