A Rare Case of Remnant of Omphalomesenteric Duct Presented with Umbilical Sinus with Granuloma in an Adult

Kishore  Babu EP; Bhuvneshwari; Imran  Thariq Ajmal; Saxena Megha   Dhirendrakumar

Kishore Babu EP Professor, Department of General Surgery, Chettinad Hospital & Research Institute, Rajiv Gandhi Salai, OMR, Kelambakkam, Chennai, Tamil Nadu, India.
Bhuvneshwari Senior Residnet, Department of General Surgery, Chettinad Hospital & Research Institute, Rajiv Gandhi Salai, OMR, Kelambakkam, Chennai, Tamil Nadu, India.
Imran Thariq Ajmal Associate Professor, Department of General Surgery, Chettinad Hospital & Research Institute, Rajiv Gandhi Salai, OMR, Kelambakkam, Chennai, Tamil Nadu, India.
Saxena Megha Dhirendrakumar Postgraduate, Department of General Surgery, Chettinad Hospital & Research Institute, Rajiv Gandhi Salai, OMR, Kelambakkam, Chennai, Tamil Nadu, India.

Keywords: Omphalomesenteric Duct, Anomalies, Umbilical Sinus

Abstract

The omphalomesenteric duct (OMD) is an embryonic structure connecting the yolk sac to the midgut. Failure of the resorption of the duct results in several anomalies. These anomalies usually occur in approximately 2% of the population. Individuals having such anomalies may remain asymptomatic throughout life. The embryonic vitelline duct obliterates in 5 to 9 weeks of intrauterine life normally. Persistence of this results in vitellointestinal duct/ omphalomesenteric duct anomalies. It is usually seen in the paediatric age group. Moreover, they have a different course in adults than the paediatric age group in which they frequently involute and have a benign course. These remnants are prone to infection and development of malignancy. A proper diagnostic workup by clinical and imaging tools is required. Hereby we have reported a rare case of remnant OMD which presented as an umbilical sinus with a granuloma in an adult patient.

How to cite this article:
Babu KEP, Bhuvneshwari, Ajmal IT, Dhirendrakumar SM. A Rare Case of Remnant of Omphalomesenteric Duct presented with Umbilical Sinus with Granuloma in an Adult. Chettinad Health City Med J. 2022;11(2):75-77.

DOI: https://doi.org/10.24321/2278.2044.202219

References

Dumper J, Mackenzie S, Mitchell P, Sutherland F, Quan ML, Mew D. Complications of Meckelâ€™s diverticula in adults. Can J Surg. 2006;49(5):353. [PubMed] [Google Scholar]

Stone PA, Hofeldt MJ, Campbell JE, Vedula G, DeLuca JA, Flaherty SK. Meckel diverticulum: ten-year experience in adults. South Med J. 2004;97:1038-41. [PubMed] [Google Scholar]

Jay GD 3rd, Margulis RR, McGraw AB, Northrip RR. Meckelâ€™s diverticulum; a survey of one hundred and three cases. Arch Surg. 1950;61:158-69. [PubMed] [Google Scholar]

Vane DW, West KW, Grosfeld JL. Vitelline duct anomalies: experience with 217 childhood cases. Arch Surg. 1987;122:542-7. [PubMed] [Google Scholar]

Moore TC. Omphalomesenteric duct malformations. Semin Pediatr Surg. 1996;5:116-23. [PubMed] [Google Scholar]

Hinson RM, Biswas A, Mizelle KM, Tunnessen WW Jr. Picture of the month. Persistent omphalomesenteric duct. Arch Pediatr Adolesc Med. 1997;151:1161-2. [PubMed] [Google Scholar]