title: Persistent omphalomesenteric duct causing small bowel obstruction in an adult.
abstract: An extremely rare case of persistent omphalomesenteric duct causing small bowel obstruction is presented. A 20-year-old female patient without medical history presented with colicky abdominal pain, vomiting, absence of passage of gas and feces, and abdominal distension of 24 h duration. Physical examination and blood tests were normal. Abdominal X-ray showed small bowel obstruction. Computed tomography of the abdomen demonstrated dilated small bowel and a band originating from the umbilicus and continuing between the small bowel loops; an omphalomesenteric duct remnant was suspected. In exploratory laparotomy, persistent omphalomesenteric duct causing small bowel obstruction was identified and resected. The patient had an uneventful recovery and was discharged on the 5(th) postoperative day. Although persistent omphalomesenteric duct is an extremely infrequent cause of small bowel obstruction in adult patients, it should be taken into consideration in patients without any previous surgical history.
authors.affiliation: Department of Propaedeutic Surgery, Hippokration Hospital, Athens Medical School, University of Athens, Kerasoudos 54 Street, 15771 Zografou, Athens, Greece. hmarkogiannakis@mycosmos.gr
authors.forename: Haridimos
authors.initials: H
authors.lastname: Markogiannakis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Theodorou
authors.forename: Konstantinos G
authors.initials: KG
authors.lastname: Toutouzas
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Drimousis
authors.forename: Sotirios Georgios
authors.initials: SG
authors.lastname: Panoussopoulos
authors.forename: Stilianos
authors.initials: S
authors.lastname: Katsaragakis
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy; D008467:Meckel Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014816:Vitelline Duct / Q000002:abnormalities* / Q000601:surgery