Alevli Feride, Akbulut Sami, Dolek Yasemin, Cakabay Bahri, Sezgın Arsenal
Department of Surgery, Diyarbakir Education and Research Hospital, Diyarbakir, Turkey.
Turk J Gastroenterol. 2011 Feb;22(1):101-3. doi: 10.4318/tjg.2011.0167.
A patent vitelline duct is an uncommon condition. Diagnosis is based on clinical and radiological findings. Complications include prolapse, intestinal obstruction, hemorrhage, and perforation. Here, we report the case of a 23-year-old man with patent vitelline duct who presented with umbilical discharge, severe abdominal pain, fever of 38.5°C, no gas/feces passage, and nausea and vomiting for three days. Laparotomy with midline incision was performed because of acute abdomen. A patent vitelline duct from the terminal ileum to the umbilicus was observed. Meckel's diverticulitis and ileus were also noted. En bloc resection of the umbilicus, patent vitelline duct and a 15 cm ileal segment was performed. The patient was discharged five days after the operation.
卵黄管未闭是一种罕见的病症。诊断基于临床和影像学检查结果。并发症包括脱垂、肠梗阻、出血和穿孔。在此，我们报告一例23岁卵黄管未闭男性患者的病例，该患者出现脐部渗液、严重腹痛、38.5°C发热、无排气/排便以及恶心呕吐三天。因急腹症行中线切口剖腹手术。观察到一条从回肠末端至脐部的未闭卵黄管。同时还发现梅克尔憩室炎和肠梗阻。对脐部、未闭卵黄管及一段15厘米的回肠段进行了整块切除。患者术后五天出院。
