Patent vitello intestinal duct, transumbilical treatment

Abstract EN

Background / Purpose: patent vitello-intestinal duct is a rare gastrointestinal tract anomaly.

It was used to be treated by entering the abdomen through an incision away from the umbilicus.

This study reports duct treatment by entering the abdomen through the umbilicus. Materials & Methods: Over a seven years period, ten patients 8 males and 2 females, with patent vitello intestinal duct were treated by trans-umbilical approach; wedge resection was done for 9 patients and one patient required resection and end to end anastomosis. Results: The age of the patient's rangedfrom1 day up to 23 days.

The mean operative period was 75 minutes, (range 50 to 90 minutes).

There were no intraoperative complications.

Post-operative complications included abscess at the upper edge of the umbilicus, with discharge in one patient.

The healing was sound with good cosmetic appearance. Conclusion: The trans-umbilical approach for treatment of patent vitello-intestinal duct is feasible relatively easy to perform with a good sound healing and excellent cosmetic appearance.

Index words: Vitello-intestinal duct, omphalomesentric duct, umbilical plasty.