Prolapse of inverted ileal loops through a patent vitellointestinal duct.
We report a case of a prolapsed patent vitellointestinal duct (PVID) in a 2-month-old girl child who presented with sudden increase in size of a polypoidal lesion into a large, 'Y'-shaped reddish, prolapsing lesion, discharging gaseous and faecal matter at her umbilicus. The lesion was diagnosed as a prolapse of inverted ileal loops through the PVID. The child had no associated congenital anomalies. A transumbilical exploration was performed, followed by wedge resection and anastomosis. The child tolerated the procedure well and the postoperative course was uneventful. If the omphalomesenteric duct fails to obliterate a range of congenital defects related to the umbilicus, it can become clinically apparent. Meckel's diverticulum is the commonest of these defects but is most often asymptomatic. PVID is the most common symptomatic anomaly of the patent omphalomesenteric duct and requires prompt surgical correction to avoid complications.
Department of Pediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India Department of Public Health Sciences, Global Health (IHCAR), Stockholm, Solna, Sweden Department of Women and Children's Health, International Maternal and Child Health Unit, Uppsala University, Uppsala, Sweden.
Ashish
A
Pathak
Department of Paediatric Surgery, RD Gardi Medical College, Ujjain, Madhya Pradesh, India.
Nitin
N
Agarwal
Department of Pediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India.
Poonam
P
Singh
Department of Pediatrics, RD Gardi Medical College, Ujjain, Madhya Pradesh, India.
Mamta
M
Dhaneria
D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000601:surgery*; D007223:Infant; D011391:Prolapse; D014816:Vitelline Duct / Q000002:abnormalities*