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Patent Omphalomesenteric Duct: A Case Report and Review of Japanese Literature
Author(s) -
Yamada Takashi,
Seiki Yasuo,
Ueda Masatsugu,
Yoshikawa Takuji,
Sempuku Sadahiro,
Kurokawa Akio,
Nakata Katsuji
Publication year - 1989
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1989.tb00182.x
Subject(s) - medicine , ileum , duct (anatomy) , fistula , surgery , incidence (geometry) , gastroenterology , physics , optics
Patent omphalomesenteric duct (umbilical enteric fistula) was diagnosed in a 7‐day‐old infant. The duct closed spontaneously, but at the age of 4 months the infant was readmitted for a resection of the duct. A review of the literature disclosed that 65 cases of patent omphalomesenteric duct have been reported in Japan. The male/female ratio was 2.8: 1. Ten out of 36 infants (27.8%) were premature. Surgery was performed in as many patients as possible—55 out of 59 cases (93.2%). The ducts averaged 3.8 cm in length and 1.1 cm in diameter. Errant gastric mucosa was found in 3 out of 30 cases (10.0%). Prolapse of the ileum was present in 28 out of 53 patients (52.8%)—a relatively high incidence. Ten out of 55 patients died (18.2%); 8 of these had a prolapse of the ileum. In view of the high mortality rate of patients with a prolapse of the ileum and the strong possibility of intestinal obstruction, patent omphalomesenteric ducts should be resected surgically.