Omphalomesenteric Remnant Research Articles

Differentiation Between Umbilical Granuloma and Patent Vitellointestinal Ducts in Infants and its Associated Complications- 8 Years Retrospective Study: Novel Approach

Umbilical granuloma is a very common cause of umbilical discharge. It is managed by chemical cauterization, Bipolar electric cauterization and sometimes by simple thread ligation. However, it must be differentiated from omphalo-mesenteric remnants otherwise it can lead to disastrous complications like prolapsed of ileum and subsequent gangrene of bowel. Ultrasonography is very important tool for differentiation between umbilical granuloma and ramnants of viltello-intestinal ducts or urachus. Umbilical granuloma is a very common cause of umbilical discharge. It is managed by chemical cauterization or simple thread ligation. However, it can be a differential diagnosis of patent vitello intestinal duct and this should be ruled out before managing patients.

Аномалії залишків омфаломезентеріальних судин при гастрошизисі та їх роль у плануванні хірургічної тактики при цій патології

Аномалії залишків омфаломезентеріальних судин при гастрошизисі та їх роль у плануванні хірургічної тактики при цій патології

Umbilical mucosal polyp in an infant: a rare entity Mimicking umbilical granuloma

Umbilical lesions constitute a comparatively lesser percentage of the specimens received on a daily basis for histopathological examination. During embryological development, the umbilicus functions as a channel that allows flow of blood between the placenta and fetus. It also serves an important role in the development of the intestine and the urinary system. After birth, once the umbilical cord falls off, no evidence of these connections should be present. Nevertheless a few lesions are encountered related to the same. Patients with umbilical disorders present with drainage, a mass, or both. Umbilical granuloma, omphalomesenteric remnants, urachal remnants, hernias are few lesions in the umbilical region. We present a case of an umbilical polyp in an infant, which clinically suspected to an umbilical granuloma. The idea behind presenting this case was that, not only are umbilical polyps rare lesions but also it is necessary to differentiate it from umbilical granuloma as the treatments may vary. The clinicians and reporting pathologists must be aware of this rare congenital lesion.

Incarcerated Wandering Spleen in a Congenital Hernia of the Cord: First Case Report

Congenital Hernia of the cord is an uncommon abdominal wall defect anatomically and embriologically considered as a different entity from Gastroschisis and Omphalocoele with an estimated incidence of 1:5000. Its content can be various including: small and large bowel, gallbladder, liver lobes and omphalo-mesenteric remnants. Here we report the first case of a wandering spleen incarcerated within the congenital hernia of the cord in order to highlight the importance of the surgical exploration to prevent solid organs injury.

Abdominal Wall Phlegmone Associated with an Omphalomesenteric Remnant in an Adult Male: Laparoscopic Repair

Abstract Background: Persistent omphalomesenteric remnants are diagnosed most commonly in childhood. The condition is rare in adults with only a few cases of laparoscopic management reported thus far. Case Presentation: A 32-year-old male underwent open umbilical hernia repair without mesh at an outside hospital. He developed an abdominal wall phlegmone followed by a chronic umbilical infection. Computed tomography (CT) scan showed a tubular structure at the inner surface of the abdominal wall suggestive of a urachus cyst. During laparoscopy, the tubular structure was found to have no relation to the bladder but instead could be followed toward the small bowel originating 100 cm proximal to the terminal ileum. The chronic infected umbilical fistula was resected, and at the origin the duct was excised longitudinally and the enterotomy was closed transversely. The patient developed a superficial surgical site infection but ultimately did well. Discussion: Surgeons should be aware of this rare condition as a...

A Rare Coexistence: Omphalomesenteric Remnant with Appendix and Caecum Duplication

A Rare Coexistence: Omphalomesenteric Remnant with Appendix and Caecum Duplication

Chirurgie du diverticule de Meckel

Meckel's diverticulum (omphalomesenteric remnant) is the most common congenital abnormality of the small intestine. It may be completely asymptomatic, or revealed by a complication such as occlusion, peritonitis, or recurrent abdominal pain. The diagnosis can only be made by direct surgical investigation: laparotomy or laparoscopy. The complications are frequent and serious in children. Therefore, we recommend systematic ablation of Meckel's diverticulum. The technique of choice is short small bowel resection with termino-terminal anastomosis.

CUTANEOUS REMNANTS OF THE OMPHALOMESENTERIC DUCT.

The omphalomesenteric duct is a tubular structure that links the primitive gut to the yolk sac of the embryo. Although it normally disappears from the body of the embryo after a few weeks, all or a portion of the duct may persist and provide a variety of anomalous conditions. Cutaneous remnants of the duct occur in the skin of the umbilicus and consist of ectopic tissue resembling that of the gastrointestinal tract. These lesions are frequently accompanied by potentially serious internal anomalies and thus have considerable warning value. They may be distinguished from the common umbilical granulations of the newborn by their clinical and histologic characteristics. The clinicopathologic features of 40 examples of cutaneous omphalomesenteric duct remnants were studied at the Armed Forces Institute of Pathology. The majority of patients were infants, but 14 were adults who had had symptoms all their lives. Three patients had patent intestinal-umbilical fistula. Those three and 13 others in the group had exploratory surgery. Ten of the 16 had internal omphalomesenteric remnants.