Hunald F A, Rajaonarivony M F V, Rakotovao M, Ravololoniaina T, Rakoto-Ratsimba H, Andriamanarivo M L
Service de chirurgie pédiatrique, CHU JRA, BP 4150, Antananarivo, Madagascar.
Arch Pediatr. 2011 Apr;18(4):420-2. doi: 10.1016/j.arcped.2011.01.005.
Omphalomesenteric fistula is a complete persistence of the omphalomesenteric duct communicating between the umbilicus and the intestine. The presence of intestinal contents suggests the diagnosis in its typical form. We report a case of omphalomesenteric fistula in a 3-year-old boy to show that intestinal parasitic infection associated with ascariasis expulsion through the umbilicus can be the incidental finding of the omphalomesenteric fistula. This case needs no paraclinical investigation and treatment consists in partial transumbilical resection followed by umbilicus restitution.
脐肠系膜瘘是脐肠系膜管完全持续存在,在脐部与肠道之间形成通道。肠道内容物的存在提示典型形式的诊断。我们报告一例3岁男孩的脐肠系膜瘘病例,以表明与蛔虫经脐排出相关的肠道寄生虫感染可能是脐肠系膜瘘的偶然发现。该病例无需辅助临床检查,治疗方法是经脐部分切除,然后恢复脐部形态。