A wide variety of anomalies may occur as a result of the vitellointestinal duct (VID) failing to obliterate completely. Most reports on symptomatic VID focus on Meckel's diverticulum, while other anomalies are given little attention. We report a case of a baby of five months who had an intestinal loop inverted through a patent VID. The inverted loop was reduced and ileostomy was done which was closed after 6 weeks.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1948009PMC
http://dx.doi.org/10.1186/1752-1947-1-49DOI Listing

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Article Synopsis
  • - Two congenital anomalies were identified in an infant, involving the umbilicus, including a mass present since birth and a patent urachus observed during a cystourethrogram.
  • - During surgical exploration, a patent vitellointestinal duct was discovered alongside the urachus, leading to surgical resection and anastomosis of the duct, while the urachus was excised.
  • - Histopathological analysis revealed intestinal epithelium in the duct and a dense fibrous structure in the urachus, with a cautionary note about the proximity of omphalo-mesenteric vessels during surgery to avoid excessive bleeding.
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A Meckel's diverticulum is a true congenital diverticulum arising from the ileum, approximately 2 feet from the ileocaecal junction. Named after Johann Meckel, who first described its embryological origins, the anomaly remains asymptomatic for most. Uncommonly, it is found to be the cause of serious complications such as interstitial obstruction and/or gangrene, bowel perforation, and, in rare cases, internal bowel herniations.

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Meckel's Diverticulum With Perforation.

Cureus

August 2024

Surgery, AdventHealth, Tampa, USA.

Meckel's diverticulum (MD) is a common congenital defect of the small intestinal tract resulting from incomplete obliteration of the vitellointestinal duct. It presents with unexplained gastrointestinal bleeding, bowel obstruction, and inflammation. In rare instances, the presentation is with perforation similar to acute appendicitis with perforation.

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The vitellointestinal duct (VID) is an embryological remnant of the vitelline duct, a structure that connects the developing fetus to the yolk sac and is responsible for the nutritional support of the fetus during the early embryological days. The VID usually gets obliterated by the fifth to ninth week of gestational age after the establishment of placental nutrition. The patent VIDellointestinal duct is a relatively rare congenital condition that occurs in approximately 2% of the general population, with the most common presentation being Meckel's diverticulum.

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