Omphalomesenteric ductus remnant coinciding with ileac duplication in adult: A rare cause of ileus

• Published in: Gülhane tıp dergisi Vol. 55; no. 1; p. 59
• Main Authors: Dandin, Ozgur, Sinan, Huseyin, Balta, Ahmet, Sucullu, Ilker, Yucel, Ergun, Yildirim, Sukru
• Format: Journal Article
• Language: English; Turkish
• Published: Ankara Gulhane Medical Journal 01.03.2013
• Subjects: Abdomen; Intestinal obstruction
• ISSN: 1302-0471; 2146-8052
• DOI: 10.5455/gulhane.35182

Small bowel obstruction is a common cause of surgical emergency. Persistent omphalomesenteric duct causing small bowel obstruction is an extremely rare case. Our case was a 26 -year-old male patient without any medical history of previous abdominal operation presented in our department with colicky abdominal pain, vomiting, absence of passage of gas and feces for 48-hour duration. As a result of investigation the patient was taken to the operating room with a diagnosis of bowel obstruction. In exploratory laparotomy, approximately 10 cm length a fibrous cordex tending from the posterior wall of the umbilicus to the mesenter of the small bowel, justifying the suspicion of omphalomesenteric duct remnant was identified. Ileal duplication was detected by the proximal of the obstruction accompanying. The duct causing ileus was resected and the obstruction was resolved without bowel resection. The patient was discharged on the seventh day after surgery with surgical cure. Enteric duplications and omphalomesenteric duct remnants, in rare cases, are congenital anomalies can be seen with. Omphalomesenteric duct remnants, in cases of mechanical bowel obstruction without any history of previous abdominal operation, is a pathology that should be remembered.