Tonneau Camille, Herve Jerome, Nebbot Benjamin, Cappeliez Olivier, Pather Sanjiva, Saliba Thomas
Hopital de Braine L'Alleud, Braine L'Alleud, Belgium.
Acta Med Litu. 2024;31(2):328-333. doi: 10.15388/Amed.2024.31.2.1. Epub 2024 Dec 4.
The omphalomesenteric canal (OMC) is an important embryonic structure that normally regresses during development. OMC remnant persistance is rare and can lead to complications such as small intestinal obstruction. We report the case of an 18-year-old male with flu-like symptoms, abdominal pain, fever, and a positive McBurney sign. A CT scan raised the suspicion of occlusion, prompting surgery, revealing a fibrous band from the umbilicus to the mesocolon around which the right colon and caecum were wrapped. OMC anomalies are generally encountered in children, with a large spectrum of possibilities causing various problems. Diagnosis is challenging, with symptoms often mimicking other conditions, often necessitating surgery to obtain a definitive diagnosis. Intestinal obstruction is a severe complication, necessitating urgent surgical resection. Radiological imaging mainly serves to prompt surgical intervention as it is limited in directly visualizing fibrous bands, with surgery remaining the best way to obtain a diagnosis, as well as allowing concomitant treatment.
卵黄管（OMC）是一个重要的胚胎结构，通常在发育过程中退化。卵黄管残余持续存在的情况罕见，可导致诸如小肠梗阻等并发症。我们报告一例18岁男性病例，该患者有流感样症状、腹痛、发热及阳性的麦氏征。CT扫描怀疑有梗阻，遂进行手术，术中发现一条从脐部至结肠系膜的纤维带，右半结肠和盲肠围绕该纤维带缠绕。卵黄管异常一般在儿童中出现，有多种可能性可导致各种问题。诊断具有挑战性，其症状常与其他病症相似，往往需要手术才能获得明确诊断。肠梗阻是一种严重并发症，需要紧急手术切除。放射影像学主要用于促使进行手术干预，因为其在直接可视化纤维带方面有限，手术仍是获得诊断以及进行同步治疗的最佳方法。
