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Case report and literature review. Persistence of the omphalomesenteric duct in adults

By
Mantilla Sarmiento Gabriela ,
Mantilla Sarmiento Gabriela

Cirujana/o general, Unidad de cirugía, Hospital de Especialidades José Carrasco Arteaga. Cuenca-Ecuador

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Carlos Alejandro Rojas Merchan ,
Carlos Alejandro Rojas Merchan

Médico residente de cirugía general, Hospital Hospital de Especialidades José Carrasco Arteaga. Cuenca-Ecuador

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Mauro Rogelio Crespo Guillén ,
Mauro Rogelio Crespo Guillén

Médico residente de cirugía general, Hospital Hospital de Especialidades José Carrasco Arteaga. Cuenca-Ecuador

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María Cristina Galindo Quezada ,
María Cristina Galindo Quezada

Médico general del Hospital del Río, Cuenca – Ecuador

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Rosa Elvira Minchala Urgilés ,
Rosa Elvira Minchala Urgilés

Enfermera. Hospital de Especialidades José Carrasco Arteaga. Cuenca-Ecuador

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Abstract

Introduction: Multiple pathologies can affect the umbilical cord, either due to infectious causes or malformation causes (acquired or congenital). However, the persistence of the omphalomesenteric duct and the urachus are the most frequent congenital malformations, especially in the pediatric setting, but not in the case of adults. Case report: The case of a 68-year-old male patient from a rural area, a farmer, with an enterocutaneous fistula, who received surgical treatment, is presented. He went to the consultation due to yellowish fluid leaking from the umbilical region, pain, and erythema, with a history of prostatectomy, osteoarthritis, and arterial hypertension. He was admitted with a diagnostic impression of cellulitis vs wall abscess. According to the assessment by the surgical team, a clear discharge of intestinal fluid was observed through the navel, for which reason emergency surgical resolution was decided for exploratory laparotomy. The patient reports discharge of yellowish fluid from the navel since childhood; there is a high suspicion of a picture compatible with the persistence of the omphalomesenteric duct in the adult. Evolution: The patient underwent surgery with the following finding: A fully patent omphalomesenteric duct (enteroumbilical fistula) was found 70 cm from the ileocecal valve, plus incidental appendectomy. He was discharged on the eighth day of hospitalization. with a favorable evolution, outpatient treatment, and outpatient control. In addition, a bibliographical review in scientific databases such as Pubmed, Scopus, Proquest, Lilacs, Scielo, and Google Academic. Conclusions: surgical treatment with a favorable evolution, outpatient treatment, and outpatient control.

How to Cite

1.
Sarmiento Gabriela M, Rojas Merchan CA, Crespo Guillén MR, Galindo Quezada MC, Minchala Urgilés RE. Case report and literature review. Persistence of the omphalomesenteric duct in adults. Salud, Ciencia y Tecnología [Internet]. 2024 May 9 [cited 2024 May 28];4:827. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/827

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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