2025, Number 4
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Rev Mex Pediatr 2025; 92 (4)
Newborn with remnant of the omphalomesenteric duct
Cetina-Díaz YA, Álvarez-Carrascal JM, Mogollón-Botía DM, García-Agudelo L
Language: Spanish
References: 13
Page: 162-165
PDF size: 994.54 Kb.
ABSTRACT
Introduction: we present the diagnostic and therapeutic process of a newborn with a remnant of the omphalomesenteric duct.
Clinical case: a male newborn was found at birth with meconium-stained umbilical cord blood. The remnant of the omphalomesenteric duct was confirmed by contrast fistulography. Surgery was performed with resection of an intestinal segment around the omphalomesenteric fistula, followed by an ileoileal end-to-end anastomosis. The patient was discharged home after 10 days due to a good recovery.
Conclusion: a remnant of the omphalomesenteric duct is a rare condition; its diagnosis is based on physical examination and imaging studies. Patients have good prognosis after surgical treatment.
REFERENCES
González KW, Chandler NM. Ruptured omphalocele: diagnosis and management. Semin Pediatr Surg. 2019; 28(2): 101-105. doi: 10.1053/j.sempedsurg.2019.04.009.
Chacón-Garita L, García-Arias F. Persistencia del conducto onfalomesentérico. Acta Méd Costarric. 2017; 59(4): 158-160.
Seye C, Mbaye PA, Ndoye NA, Diouf C, Fall M, Sagna A et al. Omphalomesenteric fistulas; epidemiological diagnostic and therapeutic features: study of four cases in the Department of Pediatric Surgery at the Aristide Le Dantec University Hospital in Dakar. Pan Afr Med J. 2020; 37(165): 165. doi: 10.11604/pamj.2020.37.165.19187.
Sadler TW. Embriología médica: con orientación clínica. 15 ed. España: Editorial Wolters Kluwer; 2016.
Solomon-Cohen E, Lapidoth M, Snast I, Ben-Amitai D, Zidan O, Friedland R et al. Cutaneous presentations of omphalomesenteric duct remnant: a systematic review of the literature. J Am Acad Dermatol. 2019; 81(5): 1120-1126. doi: 10.1016/j.jaad.2019.02.033.
Inarejos-Clemente EJ, Navarro OM, Navallas-Irujo M, Ladera E, Colombo C, Suñol M et al. Omphalomesenteric duct anomalies in children: a multimodality overview. Radiographics. 2021; 41(7): 2090-2110. doi: 10.1148/rg.2021210048.
Piña LA, Manosalva CA, Allel CR. Patología del ombligo. Rev Pediatría. 2015; 12(1): 28-39.
Carro G, Urroz J, Juambeltz C. Persistencia de conducto onfalomesentérico permeable. An Fac Med. 2018; 5(2): 102-107. doi: 10.25184/anfamed2018v5n2a1.
Oprisan A, Llorens R, Chacon JG, Arriagada EB, Clavelis MM, Boukhoubza A et al. Persistence of the omphalomesenteric duct in a newborn. Unpublished; 2020. doi: 10.13140/RG.2.2.31269.83680
Mariño LP, Fraga JI, Rubio S, Segarra J, Gaetano M, Ossés JA. Persistencia del conducto onfalomesentérico. Arch Argent Pediatr. 2009; 107(1): 57-59.
Viñet Espinosa LM, Correa Branco LS. Retardo en la caída del cordón umbilical por persistencia del conducto onfalomesentérico. Presentación de caso. Panorama. Cuba y Salud. 2017; 12(2): 45-48.
Aghababaie A, Ho J, Kelay A, Salt P. Persistent omphalomesenteric duct in an infant with trisomy 21. BMJ Case Reports. 2024; 17(5): e259671. doi: 10.1136/bcr-2024-259671
Barragán-Briceño T, Bayona-Daza ÁJ, Gómez-Garnica D. Obstrucción intestinal secundaria a remanente del conducto onfalomesentérico: a propósito de un caso. Rev Colomb Cir. 2024; 40(1): 191-196. doi: 10.30944/20117582.2357