Patent vitello-intestinal duct with a rare presentation of reverse intussusception with appendicular agenesis: A case report
DOI:
https://doi.org/10.52783/jns.v13.1322Keywords:
Reverse Intussusception, Vitello-intestinal duct, Pediatric, Congenital anomaliesAbstract
Background: Vitello-intestinal duct (VID) is found in approximately 2% of newborns, with patency in about 6%. Failure of obliteration leads to some anomalies, most commonly Meckel’s diverticulum. Protrusion of the small bowel is one of the rare presentations.
Case Presentation: A 10-month-old male infant presented with a prolapsed, irreducible polypoid-shaped loop of intestine protruding from the anterior abdomen. On exploratory laparotomy, patent VID was confirmed with appendicular agenesis and reverse intussusception. Gangrenous bowel was resected, followed by end-to-end ileo-ileal anastomosis, with a favorable outcome.
Conclusion: Patent VID with ileal intussusception and prolapse is a rare entity, which can be easily diagnosed clinically. A high index of suspicion is needed for any associated gut anomaly in these cases, like appendicular agenesis.
Downloads
Metrics
References
Mohite PN, Bhatnagar AM, Hathila VP, Mistry JH. Patent vitellointestinal duct with prolapse of inverted loop of small intestine: a case report. J Med Case Rep. 2007;1:1-4.
Vane DW, West KW, Grosfeld JL. Vitelline duct anomalies: experience with 217 childhood cases. Arch Surg. 1987;122(5):542-7.
Vincent MV, Doyle A, Bernstein S, Jackman S. Absence of the appendix discovered during childhood. Springerplus. 2014;3:1-4.
Patel RV, Kumar H, Sinha CK, Patricolo M. Neonatal prolapsed patent vitellointestinal duct. Case Rep. 2013;bcr2013010221.
Kannan L, Mishra S, Agarwal R, Karthikeyan V, Gupta N, Kabra M. Carbimazole embryopathy‐bilateral choanal atresia and patent vitello‐intestinal duct: A case report and review of literature. Birth Defects Res A Clin Mol Teratol. 2008;82(9):649-52.
Piparsaliya S, Joshi M, Rajput N, Zade P. Patent vitellointestinal duct: a close differential diagnosis of umbilical granuloma: a case report and review of literature. Surg Sci. 2011;2(3):134.
Yaylak F, Algin MC, Gungor Y, Korkmaz M. Atresia of the appendix vermiformis: a rare case of developmental abnormality. World J Gastroenterol. 2013;19(1):122.
Gladstone RJ. Congenital absence of the appendix of the caecum. J Anat Physiol. 1915;49:414.
Gvalani AK, Acharya GV, Rao RV, Dawookkar VV. Ileal prolapse through a patent vitellointestinal. Indian Pract. 1985;38(7):629-32.
Rohatgi M, Gorthi SN. Omphalocele with patent omphalomesenteric duct and ileal prolapse. Indian J Pediatr. 1984;51:119-23.
Zea M, Chana R, Anees A, Khan S. Inverted ileal prolapse through patent vitellointestinal duct: a case report. Internet J Pediatr Neonatol. 2009;2013:2.
Pathak A, Agarwal N, Singh P, Dhaneria M. Prolapse of inverted ileal loops through a patent vitellointestinal duct. BMJ Case Rep. 2015;2015:bcr2015211563.
Singh S, Pandey A, Ahmed I, Rawat JD, Sharma A, Srivastava NK. Prolapse of bowel via patent vitello intestinal duct—a rare occurrence. Hernia. 2011;15:567-9.
Pauleau G, Commandeur D, Andro C, Chapellier X. Case Report-Intestinal prolapse through a persistent omphalomesenteric duct causing small-bowel obstruction. S Afr J Surg. 2012;50(3):102-3.
Kadian Y. Patent vitellointestinal duct with inverted ileal loop prolapse: a rare presentation. Oncol Gastroenterol Hepatol Rep. 2015;4(2):952.
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Aman Kumar Singh, Manoj Gogoi, Bhaswati Bharadwaj
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
