Small bowel obstruction due to a persistent omphalomesenteric duct.
JBR-BTR
; 88(4): 175-7, 2005.
Article
em En
| MEDLINE
| ID: mdl-16176073
ABSTRACT
We report a case of a Meckel diverticulum connected with the umbilicus through a fibrotic cord causing small bowel obstruction. On admission, the patient presented with an acute abdomen. A plain upright radiography of the abdomen, an ultrasonography of the abdomen, and an enema with gastrografin were performed, showing a small bowel obstruction at the level of the pre-terminal ileum, without revealing the cause. Urgent surgery followed, showing a persistent omphalomesenteric duct connected to the abdominal wall through a fibrotic cord, with a secondary volvulus of the small bowel. The remnant was resected and the volvulus reduced. The post-operative course was uneventful. Because of the serious complications and even possible mortality due to ischemic disease of the affected small bowel the possibility of a complicated persistent omphalomesenteric duct should be kept in mind, even if the preoperative work-up does not reveal a Meckel diverticulum.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças do Íleo
/
Obstrução Intestinal
/
Divertículo Ileal
Tipo de estudo:
Etiology_studies
Limite:
Child, preschool
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article