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AuthorAl-Tarakji, Mohannad
AuthorAlmogtaba, Mohamed
AuthorAl-Hashimy, Yaseen
AuthorMoustafa, Omar S
AuthorShehata, Mona S
AuthorAl-Zoubi, Raed M
AuthorGhali, Mohamed Said
Available date2024-02-27T07:37:53Z
Publication Date2024-01-17
Publication NameClinical Case Reports
Identifier10.1002/ccr3.8395
CitationAl‐Tarakji, M., Almogtaba, M., Al‐Hashimy, Y., Moustafa, O. S., Shehata, M. S., Al‐Zoubi, R. M., & Ghali, M. S. (2024). Laparoscopic management of intestinal obstruction in a young adult with a virgin abdomen: Unusual presentation of combined vitellointestinal duct remnants: A clinical case report. Clinical Case Reports, 12(1), e8395.
URIhttp://hdl.handle.net/10576/52285
AbstractIn an 18-year-old, Meckel's diverticulum and a rare vitellointestinal fibrous band caused bowel obstruction. Clinicians should be vigilant for such anomalies, especially in young adults with virgin abdomens, as potential sources of intestinal obstruction. In this case report, we highlight the rarity of vitellointestinal or omphalomesenteric duct anomalies causing intestinal obstruction in the adult population. The patient, an 18-year-old male, presented to the emergency department with a two-day history of abdominal pain and vomiting. Physical examination revealed mild distension of his virgin abdomen with generalized tenderness. Abdominal X-ray displayed dilated small bowel loops, and a computed tomography scan indicated features consistent with closed-loop bowel obstruction. Diagnostic laparoscopy confirmed a vitellointestinal duct remnant as the cause of the small intestinal obstruction, involving a combined Meckel's diverticulum and vitellointestinal fibrous band. In early fetal development, the vitellointestinal duct communicates between the midgut and the yolk sac, expected to disappear during fetal growth. Failure to obliterate can lead to issues such as intestinal blockage, primarily observed in children, making occurrences in adults, as in this case, infrequent with only a few documented instances. Despite its uncommon occurrence in young adults, healthcare providers should consider the vitellointestinal duct anomalous remnant as a potential source of intestinal obstruction, particularly in individuals with a virgin abdomen. Early detection of intestinal obstruction is imperative for patient survival, facilitating prompt management and minimizing the risk of serious morbidities, ultimately contributing to a better patient outcome.
SponsorThe publication of this article was funded by the Qatar National Library.
Languageen
PublisherWiley Open Access
Subjectabdomen
case report
intestinal obstruction
laparoscopic
management
remnants
vitelline duct
TitleLaparoscopic management of intestinal obstruction in a young adult with a virgin abdomen: Unusual presentation of combined vitellointestinal duct remnants: A clinical case report.
TypeArticle
Issue Number1
Volume Number12
ESSN2050-0904
dc.accessType Open Access


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