Persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopy
This report describes the case of a 14-year-old male with a prior history of recurrent abdominal pain and two previous sub-occlusive episodes. He presented at the Emergency Room with abdominal pain, emesis, abdominal distension, painful palpation, and signs of peritoneal irritation. Plain upright abdominal radiography suggested a distal small bowel obstruction. Exploratory laparoscopy showed a tubular structure connecting the antimesenteric border of the terminal ileum and the umbilicus, which was behaving as a rotation axis to the small intestine. The volvulus was laparoscopically de-rotated, and the structure was excised. Histological exam confirmed the diagnosis of persistent omphalomesenteric duct. This case illustrates an intestinal obstruction caused by small intestine volvulus. A high index of suspicion is required to acknowledge this etiology.
Main Authors: | , , , , , |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Centro Hospitalar do Porto
2019
|
Online Access: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542019000200008 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
id |
oai:scielo:S0872-07542019000200008 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0872-075420190002000082019-10-17Persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopyGomes,Maria MiguelFaria,Catarina MagalhãesAlves,Manuela CostaSilva,Ana RaquelCorreia-Pinto,JorgeOsório,Angélica omphalomesenteric duct vitelline duct laparoscopy small intestinal obstruction volvulus This report describes the case of a 14-year-old male with a prior history of recurrent abdominal pain and two previous sub-occlusive episodes. He presented at the Emergency Room with abdominal pain, emesis, abdominal distension, painful palpation, and signs of peritoneal irritation. Plain upright abdominal radiography suggested a distal small bowel obstruction. Exploratory laparoscopy showed a tubular structure connecting the antimesenteric border of the terminal ileum and the umbilicus, which was behaving as a rotation axis to the small intestine. The volvulus was laparoscopically de-rotated, and the structure was excised. Histological exam confirmed the diagnosis of persistent omphalomesenteric duct. This case illustrates an intestinal obstruction caused by small intestine volvulus. A high index of suspicion is required to acknowledge this etiology.info:eu-repo/semantics/openAccessCentro Hospitalar do PortoNascer e Crescer v.28 n.2 20192019-06-01info:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542019000200008en10.25753/BirthGrowthMJ.v28.i2.14909 |
institution |
SCIELO |
collection |
OJS |
country |
Portugal |
countrycode |
PT |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-pt |
tag |
revista |
region |
Europa del Sur |
libraryname |
SciELO |
language |
English |
format |
Digital |
author |
Gomes,Maria Miguel Faria,Catarina Magalhães Alves,Manuela Costa Silva,Ana Raquel Correia-Pinto,Jorge Osório,Angélica |
spellingShingle |
Gomes,Maria Miguel Faria,Catarina Magalhães Alves,Manuela Costa Silva,Ana Raquel Correia-Pinto,Jorge Osório,Angélica Persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopy |
author_facet |
Gomes,Maria Miguel Faria,Catarina Magalhães Alves,Manuela Costa Silva,Ana Raquel Correia-Pinto,Jorge Osório,Angélica |
author_sort |
Gomes,Maria Miguel |
title |
Persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopy |
title_short |
Persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopy |
title_full |
Persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopy |
title_fullStr |
Persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopy |
title_full_unstemmed |
Persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopy |
title_sort |
persistent omphalomesenteric duct: a rare cause of acute intestinal volvulus in an adolescent treated by laparoscopy |
description |
This report describes the case of a 14-year-old male with a prior history of recurrent abdominal pain and two previous sub-occlusive episodes. He presented at the Emergency Room with abdominal pain, emesis, abdominal distension, painful palpation, and signs of peritoneal irritation. Plain upright abdominal radiography suggested a distal small bowel obstruction. Exploratory laparoscopy showed a tubular structure connecting the antimesenteric border of the terminal ileum and the umbilicus, which was behaving as a rotation axis to the small intestine. The volvulus was laparoscopically de-rotated, and the structure was excised. Histological exam confirmed the diagnosis of persistent omphalomesenteric duct. This case illustrates an intestinal obstruction caused by small intestine volvulus. A high index of suspicion is required to acknowledge this etiology. |
publisher |
Centro Hospitalar do Porto |
publishDate |
2019 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542019000200008 |
work_keys_str_mv |
AT gomesmariamiguel persistentomphalomesentericductararecauseofacuteintestinalvolvulusinanadolescenttreatedbylaparoscopy AT fariacatarinamagalhaes persistentomphalomesentericductararecauseofacuteintestinalvolvulusinanadolescenttreatedbylaparoscopy AT alvesmanuelacosta persistentomphalomesentericductararecauseofacuteintestinalvolvulusinanadolescenttreatedbylaparoscopy AT silvaanaraquel persistentomphalomesentericductararecauseofacuteintestinalvolvulusinanadolescenttreatedbylaparoscopy AT correiapintojorge persistentomphalomesentericductararecauseofacuteintestinalvolvulusinanadolescenttreatedbylaparoscopy AT osorioangelica persistentomphalomesentericductararecauseofacuteintestinalvolvulusinanadolescenttreatedbylaparoscopy |
_version_ |
1756001818798718976 |