A Rare Case of Prolapsed Omphalomesenteric duct with ruptured Umbilical Hernia.

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Date
2014-07
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Abstract
Strangulated ileal intussusceptions into the Meckel’s diverticulum (which is caused by an incomplete obliteration of omphalomesentric duct) and coming out through ruptured umbilical hernia is an extremely rare presentation. A 3- months- old male child presented with low grade fever, refusal to feed and episodes of discomfort often alternating with long period of sleepiness and lethargy. On abdominal examination loops of intestine were seen at the site of ruptured umbilical hernia. The abdomen was opened under general anaesthesia by transverse incision. Proximal ileal intussusception into the Meckel’s diverticulum, which was gangrenous, was noted. A resection with end to end ileo-ileal anastomosis was undertaken. The prolapsed bowel was replaced back and double breasting of umbilical defect was done with vicryl 2-0. The patient was completely asymptomatic and healthy.
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Keywords
Intussusception, Meckel’s diverticulum, Umbilicus, Hernia, Infants
Citation
Jain Satish, Jain Monica, Gupta Indersain, Singhal R P. A Rare Case of Prolapsed Omphalomesenteric duct with ruptured Umbilical Hernia. International Journal of Anatomy and Research. 2014 Jul-Sep; 2(3): 494-496.