Persistent Omphalomesenteric Duct Research Articles

Management of the Umbilical Cord

After completing this article, readers should be able to: 1. Describe the most serious infection that may result from inappropriate management of the umbilical cord and potential sources. 2. Describe the relationship between infant bacterial colonization and postpartum infection. 3. List the most common neonatal staphylococcal infections. 4. List the factors that affect the timing of cord separation. 5. Delineate the probable causes of drainage from the umbilical stump. This review addresses several aspects of the care of the umbilical cord: how to ligate and cut it, what (if anything) to apply to it, the problems that may be associated with ligation and cutting, and the natural history of cord separation. The traditional method of ligating the umbilical cord was to use string or twine to tie the cord before cutting it. In Southern Sudan, fine stringlike roots are used to tie the cord. More recently in the United States, special cotton tape (umbilical tape) was used and still is found on most trays used for insertion of catheters into umbilical blood vessels. Because the umbilical cord tends to shrink after birth, these types of ligature proved somewhat unreliable in preventing hemorrhage. Although the umbilical arteries tend to constrict rapidly after birth because of the muscular walls, this does not occur with the umbilical vein. Consequently, more efficient and effective methods of ligation were sought in the middle of the 20th century. The first method was to use constricting rubber bands, which were effective, but somewhat difficult to apply. This method recently found favor in a developing country (Ethiopia). However, the more usual method in developed countries currently is plastic or metal clamps, which produce safe, reliable constriction. In particular, the plastic Hollister® clamp (Double-Grip Umbilical Cord Clamp, Hollister, Libertyville, IL) has been very successful in preventing bleeding from the cord. These devices are removed …

Persistent Omphalomesenteric Duct in Prune-Belly Syndrome: A Rare Cause of Recurrent Abdominal Pain

A 16-year-old boy with prune-belly syndrome had recurrent abdominal pain, the cause of which was not found with noninvasive diagnostic methods. Therefore, a diagnostic laparoscopy was performed. A ...

Persistierender Ductus omphaloentericus-Eine mögliche Ursache des blutenden Nabels

We report the case of a 23-year-old woman with a persistent omphalomesenteric duct. The diagnosis was verified by histology. Further differential diagnoses of bleeding umbilicus are the urachal fistula and endometriosis.

Fetal jejunoileal atresia with persistent omphalomesenteric duct

A case of fetal jejunoileal atresia in association with persistent omphalomesenteric duct is presented. The dilated stomach and proximal and distal duodenum produced a multiple bubble sign on the prenatal sonogram. The neonate underwent exploratory laparotomy, excision of the persistent omphalomesenteric duct, gastrotomy, and colostomy. Possible causes of jejunoileal atresia are presented.

Cardiofacial Syndrome and Omphalocele with Persistent Omphalomesenteric Duct. A Case Report

This is a case report of a newborn baby who showed a cardiofacial syndrome combined with hernia into the umbilical cord and intussusception of proximal and distal ileum through persistent omphalomesenteric duct. SIADH (syndrome of inappropriate secretion of antidiuretic hormone) following meningitis also appeared in the case history.

Intrafunicular ulceration of persistent omphalomesenteric duct with intra-amniotic hemorrhage and fetal death

Intrafunicular ulceration of persistent omphalomesenteric duct with intra-amniotic hemorrhage and fetal death

Persistent omphalomesenteric duct with omphalocele

The subject of persistent omphalomesenteric duct with omphalocele is reviewed; a unique case of this combination is described.

Persistent omphalomesenteric duct: Incidence relative to Meckel's diverticulum

P ERSISTENCE of the omphalomesenteric duct is a rare anomaIy; patency of the duct is even rarer. Meckel’s diverticulum which is said to occur in I to 2 per cent of aduIts is a commoner manifestation of the same deveIopmenta1 abnormality. In 5,000 postmortem examinations on stillborn fetuses and upon infants at the Chicago Lying-In Hospital, ten instances of MeckeI’s diverticuIum were recorded (0.2 per cent). Among 30,000 births over a ten-year period at the same hospita1 two infants were observed with compIete patency of the omphaIomesenteric duct (I in 15,000 or 0.0067 per cent). At St. Luke’s Hospital, CIeveIand, among 31,975 births over an interva1 of twenty-one years two babies were born with compIete patency of the omphaIomesenteric duct (approximateIy I in 16,000 or .0063 per cent), and one additiona baby with a persistent but not patent duct. According to KittIe the patent duct occurs 4.4 times as often in maIes as in females. Of the four cases recorded here the three with patent ducts were a11 maIes; the one patient with persistent but not patent duct was a femaIe.