Persistent omphalomesenteric duct causing small bowel obstruction in an adult  

作　　者：Haridimos Markogiannakis Dimitrios Theodorou Konstantinos G Toutouzas Panagiotis Drimousis Sotirios Georgios Panoussopoulos Stilianos Katsaragakis 

机构地区：[1]Department of Propaedeutic Surgery Hippokration Hospital,Athens Medical School,University of Athens,Vasilissis Sofias 114 Avenue,11527,Athens,Greece

出　　处：《World Journal of Gastroenterology》2007年第15期2258-2260,共3页世界胃肠病学杂志（英文版）

摘　　要：An extremely rare case of persistent omphalomesenteric duct causing small bowel obstruction is presented. A 20-year-old female patient without medical history presented with colicky abdominal pain, vomiting, absence of passage of gas and feces, and abdominal distension of 24 h duration. Physical examination and blood tests were normal. Abdominal X-ray showed small bowel obstruction. Computed tomography of the abdomen demonstrated dilated small bowel and a band originating from the umbilicus and continuing between the small bowel loops; an omphalomesenteric duct remnant was suspected. In exploratory laparotomy, persistent omphalomesenteric duct causing small bowel obstruction was identified and resected. The patient had an uneventful recovery and was discharged on the 5^th postoperative day. Although persistent omphalomesenteric duct is an extremely infrequent cause of small bowel obstruction in adult patients, it should be taken into consideration in patients without any previous surgical history.引起小肠阻塞的坚持的脐肠系膜管的一个极其稀罕的案例被介绍。没有病历的一个 20 岁的女病人腹痛的腹的疼痛地介绍了，呕吐，气体和排汇物的经过的缺席，和 24 h 持续时间的腹的扩张。体格检查和验血是正常的。腹的 X--- 光线显示出的小肠阻塞。腹部的计算断层摄影术表明了从脐发源并且在小肠环之间继续的扩大的小肠和一个乐队；脐肠系膜管残余被怀疑。在探索剖腹术，引起小肠阻塞的坚持的脐肠系膜管被识别并且 resected。病人有平静恢复并且在第 5 手术后的天被解除。尽管坚持的脐肠系膜管是在成年病人的小肠阻塞的一个极其很少发生的原因，没有任何以前的外科的历史，它应该在病人被考虑。

关 键 词：Persistent omphalomesenteric duct Small bowel obstruction Adult patient 

分 类 号：R656.7[医药卫生—外科学]