婴儿期卵黄管异常
Vitellointestinal Duct Anomalies in Infancy.
作者信息
Kadian Yogender Singh, Verma Anjali, Rattan Kamal Nain, Kajal Pardeep
机构信息
Department of Pediatric Surgery, Pt. BD Sharma PGIMS, Rohtak, Haryana, India.
Department of Pediatrics, Pt. BD Sharma PGIMS, Rohtak, Haryana, India.
出版信息
J Neonatal Surg. 2016 Jul 3;5(3):30. doi: 10.21699/jns.v5i3.351. eCollection 2016 Jul-Sep.
BACKGROUND
Vitellointestinal duct (VID) or omphalomesenteric duct anomalies are secondary to the persistence of the embryonic vitelline duct, which normally obliterates by weeks 5-9 of intrauterine life.
METHODS
This is a retrospective analysis of a total of 16 patients of symptomatic remnants of vitellointestinal duct from period of Jan 2009 to May 2013.
RESULTS
Male to female ratio (M:F) was 4.3:1 and mean age of presentation was 2 months and their mode of presentation was: patent VID in 9 (56.25%) patients, umbilical cyst in 2(12.25%), umbilical granuloma in 2 (12.25%), and Meckel diverticulum as content of hernia sac in obstructed umbilical hernia in 1 (6.25%) patient. Two patients with umbilical fistula had severe electrolyte disturbance and died without surgical intervention.
CONCLUSION
Persistent VID may have varied presentations in infancy. High output umbilical fistula and excessive bowel prolapse demand urgent surgical intervention to avoid morbidity and mortality.
背景
卵黄管（VID）或脐肠系膜管异常是胚胎卵黄管持续存在所致，卵黄管通常在子宫内生活5 - 9周时闭塞。
方法
这是一项对2009年1月至2013年5月期间16例有症状的卵黄管残余患者的回顾性分析。
结果
男女比例（M:F）为4.3:1，平均就诊年龄为2个月，其表现形式为：9例（56.25%）患者卵黄管未闭，2例（12.25%）脐囊肿，2例（12.25%）脐肉芽肿，1例（6.25%）患者为脐疝内容物为梅克尔憩室。2例脐瘘患者有严重电解质紊乱，未接受手术干预死亡。
结论
持续性卵黄管在婴儿期可能有多种表现。高流量脐瘘和大量肠脱垂需要紧急手术干预以避免发病和死亡。
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