Patent Omphalomesenteric Duct

Easa, Zuhair Omran; Shitran, Rana F.

doi:10.33091/amj.2022.174533

	Patent Omphalomesenteric Duct
Al- Anbar Medical Journal
Article 12, Volume 18, Issue 1, 2022, Pages 52-52 PDF (354.48 K)
Document Type: Images in clinical practice
DOI: 10.33091/amj.2022.174533
Authors
Zuhair Omran Easa¹; Rana F. Shitran²
¹Department of Pediatric, College of Medicine, University of Kerbala, Kerbala, Iraq.
²Department of Pediatric, College of Medicine, University of Anbar, Ramadi, Anbar, Iraq.
Abstract
A full-term newborn male, a product of elective cesarean section, presented with drainage of meconium from the umbilical stump within the first few minutes of life (Panel A). Otherwise, the newborn was healthy and doing well with no dysmorphic features. No abnormalities were found on the abdominal ultrasound. The diagnosis of patent omphaloenteric duct was made. The newborn was brought to the theater and the patent duct was resected on the fourth day of life. A postoperative period passed smoothly without complications (Panel B). The vitelline duct, vitellointestinal duct, yolk stalk, or the omphalomesenteric duct are synonymous with the omphaloenteric duct. The omphaloenteric duct is a long and narrow tube emerging at the end of the 4^th intrauterine week. It connects the yolk sac to the lumen of the fetus midgut during development. It carries an incidence of about 2% of the population. In the 9^th week of gestation, the duct is fully obliterated. Vitelline fistula occurs when the duct fails to close. This ends with umbilical drainage of meconium. Treatment is surgical resection of the duct.
Keywords
newborn; Omphalomesenteric Duct

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