Ioannidis Orestis, Paraskevas George, Kakoutis Emmanouil, Kotronis Anastasios, Papadimitriou Nikos, Chatzopoulos Stavros, Makrantonakis Apostolos
First Surgical Department, General Regional Hospital George Papanikolaou, Thessaloniki, Greece.
J Coll Physicians Surg Pak. 2012 Aug;22(8):524-6.
The omphalomesenteric duct is an embryonic structure which connects the yolk sac to the midgut. The omphalomesenteric duct attenuates between the 5th and 9th week of gestation. Failure of the omphalomesenteric duct involution, either partial or complete, results in various omphalomesenteric duct remnants including Meckel's diverticulum, patent vitelline duct, fibrous band, sinus tract, umbilical polyp and cyst. Omphalomesenteric duct remnants are present in 2% of the population but related diseases have seldom been reported in adults. The simultaneous presence of sinus tract, omphalomesenteric cyst, fibrous ligament and Meckel's diverticulum has, according to authors' knowledge, never been reported. We present a case of a 23 years old male with persisting umbilical discharge for 2 years in whom there was coexistence of the above mentioned anomalies of the omphalomesenteric duct.
卵黄管是连接卵黄囊与中肠的胚胎结构。卵黄管在妊娠第5至9周时逐渐变细。卵黄管退化不全，无论是部分还是完全退化不全，都会导致各种卵黄管残留，包括梅克尔憩室、卵黄管未闭、纤维带、窦道、脐息肉和囊肿。卵黄管残留在人群中的发生率为2%，但成人中相关疾病鲜有报道。据作者所知，窦道、卵黄管囊肿、纤维韧带和梅克尔憩室同时存在的情况从未被报道过。我们报告一例23岁男性，持续脐部排液2年，存在上述卵黄管异常并存的情况。
