Neonatal Patent Vitellointestinal Duct with Omphalocele: Case Report

Nandan M P, Darshan A M

Abstract: A case of patent vitellointestinal duct with omphalocele in a 2 day old neonate who presented with omphalocele noted with meconium from the patent vitellointestinal duct had vomiting and poor feeding with partial intestinal obstruction and a flower like pink, lesion at his umbilicus has been reported. Ultrasound abdomen was done and ruled out other associated anamolies. On exploration patent vitellointestinal duct was opening into the sac of the omphalocele which is rare in presentation. He underwent resection and anastomosis of vitello intestinal duct and sac excision and abdominal wall repair surgery. Persistence of the vitellointestinal duct as a whole or a part of it leads to a wide variety of anomalis-meckel's diverticulum is the commonest lesion and a pvid is the rarest. Umbilical cord clamping flush with the abdominal wall may convert a mecklel's diverticulum prolapsing in the base of umbilical ring into a pvid. Careful assessment should be made for associated anomalies. Omphalocele repair (minor) with primary resection and anastomosis gives good cosmetic and functional results.

Keywords: Neonate, omphalocele, umbilical hernia, PVID, vitello intestinal duct malformations