Rationale: Patent vitellointestinal duct is the most common omphalomesenteric duct anomaly to present with symptoms.

Patient Concerns: A 10-day-old child presented with increase in the size of a polypoidal lesion into a large, "Y"-shaped reddish, prolapsing lesion, discharging gaseous, and fecal matter at her umbilicus. A laparoscopic exploration was performed, followed by wedge resection and anastomosis. No complications occurred during postoperative follow-up.

Diagnoses: A patent vitellointestinal duct with ileal prolapse.

Interventions: The resection of extended intraperitoneal intestinal tube was performed.

Outcomes: During the follow-up 3 months after surgery, the umbilical cord of the child healed well after surgery.

Lessons: Timely surgical treatment can minimize the occurrence of complications, and the overall prognosis is good after surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10798687PMC
http://dx.doi.org/10.1097/MD.0000000000036919DOI 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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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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Rationale: Patent vitellointestinal duct is the most common omphalomesenteric duct anomaly to present with symptoms.

Patient Concerns: A 10-day-old child presented with increase in the size of a polypoidal lesion into a large, "Y"-shaped reddish, prolapsing lesion, discharging gaseous, and fecal matter at her umbilicus. A laparoscopic exploration was performed, followed by wedge resection and anastomosis.

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Hyperthyroidism is more common in women and the sensitivity of thyroid function changes during pregnancy. Excess levels of thyroid hormones and thioamides have a major impact on maternal and fetal outcomes. Our aim was to perform an extensive literature review and provide relevant details concerning the analytical and clinical aspects of the potential effects of the two main drugs used (methimazole and propylthiouracil) in newborns.

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