A Case Report of Adult Patent Vitellointestinal Duct Sac and Midgut Volvulus

Mohannad Eledreesi,Mohammed Aladwani,Yasser Arafat,Osama Alnawaiseh

doi:10.4236/ss.2022.133014

Abstract

Midgut volvulus is a clinical rare condition which appears as recurrent intermittent abdominal pain after consumption of food with intermittent colicky pain and sometimes with completely asymptomatic period. This gut twist may result in complications such as ischemia, obstruction, hemorrhage, or perforation. In the yolk sac during the third week of intrauterine life, there is normal communication with intraembryonic gut. During development proceeds, this communication gets thinner into a tube known as the vitellointestinal duct. Vitellointestinal duct usually becomes obliterated before eighth week of intrauterine life. In about 2% of people this duct persists and gives rise to a group of anomalies such as Meckel’s diverticulum is the commonest and complete patency of the duct is the rarest. Here we present the case of a 34-year-old male who presented with both conditions.

Highlights

Small bowel obstruction in adult patient is common diagnosis
The persistent Vitellointestinal Duct duct about (67%) present as Meckel’s diverticulum, which is found in 2% - 3% of the population [1]
Intestinal obstruction can occur with persistent vitellointestinal duct due to intussusception with diverticulum, internal hernia or volvulus as in our patient [2]

Summary

Introduction

Small bowel obstruction in adult patient is common diagnosis. small bowel volvulus obstruction is quite rare, and most cases are present in newborns. Common symptoms of persistent vitellointestinal duct such as abdominal pain, bleeding, intestinal obstruction, umbilical drainage, and hernia. Most of such symptoms are age dependent, mostly before the age of five years. Adult patients of persistent vitellointestinal duct other than Meckel’s diverticulum are extremely rare. Intestinal obstruction can occur with persistent vitellointestinal duct due to intussusception with diverticulum, internal hernia or volvulus as in our patient [2]. We present a case of a patient undergoing an exploratory laparoscopy for recurrent abdominal pain and imaging suggestive of an obstructive pathology who was found to have patent vitellointestinal duct sac and small bowel volvulus

Case Report

Findings

Discussion