Mitani Yasuyuki, Noguchi Kohei, Nishikawa Masanori, Yamaue Hiroki
Department of Surgery and Endoscopic Surgery, Izumiotsu Municipal Hospital, Osaka, Japan.
Second Department of Surgery, Wakayama Medical University, Wakayama, Japan.
J Clin Ultrasound. 2020 Dec 1. doi: 10.1002/jcu.22957.
We report a rare case of spontaneous regression of omphalomesenteric remnant after birth. Unlike previously reported cases, no surgery was required. The omphalomesenteric duct sometimes persists at birth. Its regression after birth, however, is extremely rare. A neonate passed a bloody stool 3 minutes after birth. Meckel's scan detected slight technetium-99 m uptake around the umbilicus. Sonographic examination detected a luminal structure connected to the small bowel, which gradually regressed, however, and was no longer visible by the 52nd day after birth. Careful follow-up is required after occurrence of bloody stool and intestinal obstruction from Meckel's diverticulum.
我们报告了一例出生后脐肠系膜残余自发消退的罕见病例。与先前报道的病例不同，该病例无需手术。脐肠系膜管在出生时有时会持续存在。然而，其在出生后消退极为罕见。一名新生儿出生后3分钟排出血便。梅克尔扫描检测到脐周有轻微的锝-99m摄取。超声检查发现一个与小肠相连的管腔结构，但该结构逐渐消退，在出生后第52天已不可见。发生血便和梅克尔憩室引起的肠梗阻后需要仔细随访。
