PERSISTENCE OF THE OMPHALOMESENTERIC DUCT IN A NEWBORN: CASE REPORT
DOI:
https://doi.org/10.56238/levv16n54-096Keywords:
Vitelline Duct, Omphalomesenteric Duct, Infant, Newborn, Digestive System Surgical Procedures, Case ReportsAbstract
Introduction: Persistence of the omphalomesenteric duct (POD) is a rare congenital anomaly resulting from the failure of the vitelline duct to obliterate, which can manifest as umbilical discharge or intestinal evisceration. Objective: This report describes a case of POD with evisceration and clinical-surgical management adopted. Case Description: A full-term newborn (40 weeks) presented with fecaloid umbilical discharge that progressed to intestinal evisceration. The diagnosis of POD was confirmed by emergency exploratory laparotomy, which revealed an invaginated ileal loop 40 cm from the ileocecal valve. Intervention: Manual reduction of the loop, resection of the fistulous tract, and umbilical scar reconstruction were performed. Results: The patient developed a mild surgical wound infection, managed with systemic antibiotic therapy (metronidazole and gentamicin) and advanced topical therapy, including PHMB cleansing, silver alginate, and low-level LASER application. The neonate achieved a full recovery, with complete wound healing and hospital discharge without sequelae. Conclusion: This case highlights the importance of early recognition of fecaloid discharge as a warning sign for POD. Timely surgical intervention and intensive multidisciplinary wound management were decisive for the favorable outcome.
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References
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