Patent Omphalomesenteric Duct in a 6 Month Boy

Patent omphalomesenteric duct or vitellointestinal duct is remnant of the duct, connecting the yolk sac to the gut in the developing embryo and provides nutrition until the placenta is established in infant. It is a rare congenital malformation of the gut, with an incidence of about 2% of the population.

The condition is most commonly observed within the first year of life, affecting males preferably and reported in about 15 % of all the vitellointestinal duct anomalies. Diagnosis is obvious in most of the cases due to presence of omphalomesenteric fistula and fecal discharge through the umbilicus. Standard surgical therapy for the patent duct is surgical resection of the patent duct with or without resection of adjacent small bowel.

Herein, we report a 6-month boy was referred by paediatrician for surgical treatment. Clinical presentation of a boy was the discharge of mucus and fecal matter though the umbilicus. Surgical treatment of resection of patent vilellointestinal duct, wide wedge resection of ileum and ileal repair was performed.