Hyman N, LeLeiko N S, Dolgin S
Department of Surgery, Mount Sinai Children's Medical Center, New York, NY 10029.
J Pediatr Gastroenterol Nutr. 1991 Jul;13(1):90-1.
Omphalomesenteric duct derivatives cause an assortment of complications, most notably intestinal hemorrhage and obstruction. Intestinal obstruction is the most lethal complication and usually results from a diverticulum with an attachment to the umbilicus. This cause of intestinal obstruction is not generally recognized preoperatively. We report a teenager with episodic abdominal pain, acute small bowel obstruction, and a curious umbilical deformity with an underlying omphalomesenteric duct remnant. We believe that this physical finding suggests the diagnosis in patients with intestinal obstruction who have experienced unexplained episodes of abdominal pain.
卵黄管衍生物会引发一系列并发症，最显著的是肠道出血和梗阻。肠梗阻是最致命的并发症，通常由与脐部相连的憩室引起。这种肠梗阻的病因术前一般难以识别。我们报告一例青少年患者，有发作性腹痛、急性小肠梗阻，以及伴有潜在卵黄管残余的奇特脐部畸形。我们认为，这一体征有助于对有不明原因腹痛发作的肠梗阻患者作出诊断。
