Abstract

Patent vitellointestinal duct (PVID) is a benign congrnital anomaly ususally presenting with fecal discharge from the umbilicus. In this report, we describe two cases of PVID presented with massive bowel prolapse through the PVID and signs of intestinal obstruction. Surgery revealed prolapse of the ileal intussusceptum through the PVID. Both of the babies were sucssesfully managed with surgery.

Highlights

  • Patent vitellointestinal duct (PVID) is a benign congenital anomaly usually presenting with fecal discharge from the umbilicus

  • At two months of age, the baby presented with bilious vomiting, dehydration, and a bowel mass protruding from the umbilicus (Fig.1B)

  • Patient managed with reduction of the prolapsed bowel and primary anastomosis with resection of PVID along with segment of compromised small bowel.(Fig.1C,1D)

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Summary

Introduction

Patent vitellointestinal duct (PVID) is a benign congenital anomaly usually presenting with fecal discharge from the umbilicus. Case 1: A full term, first born, male baby presented to us at day 20 of life with some feculent discharge from his umbilicus for ten days. The umbilicus revealing a red prolapsing mass and there was a small quantity of faecal discharge. Examination showed a soft, distended abdomen with a small tubular mucosa lined structure at the umbilicus (Fig.1A).

Results
Conclusion
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