Ileal atresia associated with an omphalomesenteric duct remnant.
This paper describes an unusual case of ileal atresia associated with an omphalomesenteric duct (OMD) remnant. A 1-day-old male developed bilious vomiting and abdominal distension. At laparotomy, the distal portion of the ileum was connected to the umbilicus with a fibrous band. Around this omphalomesenteric band, the ileum was strangulated and necrotic; the end of the ileum was atretic. Apart from these structures, the cecum terminated without mesentery. This experience shows evidence of an OMD remnant as a possible cause of jejunoileal atresia.
Hasegawa
T
T
Division of Pediatric Surgery, Kinan General Hospital, Wakayama, Japan.
Sakurai
T
T
Tazuke
Y
Y
Ueda
S
S
Kitano
N
N
Dezawa
T
T
D006801:Humans; D007082:Ileum / Q000002:abnormalities*; D007231:Infant, Newborn; D007409:Intestinal Atresia; D008297:Male; D014816:Vitelline Duct