Tatekawa Yukihiro
Department of Pediatric Surgery, Saku Central Hospital Advanced Care Center, Nagano, Japan.
J Surg Case Rep. 2020 Oct 28;2020(10):rjaa428. doi: 10.1093/jscr/rjaa428. eCollection 2020 Oct.
We report our experience with two patients who underwent omphalomesenteric duct resection: one for a patent omphalomesenteric duct and the other for a Meckel diverticulum connected to the umbilicus by a fibrous cord. We used an intraumbilical round incision and a transumbilical vertical incision, respectively. The first patient was a neonate with a patent omphalomesenteric duct who appeared to have a small stoma after ligature of the umbilical cord. Contrast media, injected through a catheter inserted into the stoma, entered the lumen of the small bowel. The second patient was an infant with a Meckel diverticulum connected to the umbilicus by a fibrous cord. After bloody stool was noted, nuclear imaging using 99 technetium pertechnetate revealed a small, round area of intense tracer activity in the midabdomen, suggesting the presence of ectopic gastric mucosa. Using either an intraumbilical or a transumbilical incision is safe and provides good cosmesis.
一例是卵黄管未闭，另一例是通过纤维索与脐相连的梅克尔憩室。我们分别采用了脐部环形切口和经脐垂直切口。首例患者是一名患有卵黄管未闭的新生儿，脐带结扎后可见一个小的造口。通过插入造口的导管注入造影剂后，造影剂进入小肠腔。第二例患者是一名婴儿，其梅克尔憩室通过纤维索与脐相连。在发现血便后，使用高锝酸盐99锝进行核成像显示中腹部有一个小的圆形区域，示踪剂活性增强，提示存在异位胃黏膜。采用脐部或经脐切口都是安全的，且美容效果良好。
