• J Coll Physicians Surg Pak · Jan 2023

    Case Reports

    Omphalomesenteric Duct Fistula: A Rare Manifestation of Omphalomesenteric Duct Anomalies.

    • Ayesha Tanveer, Muhammad Imran Ibrahim, Tayyaba Nisar, Muhammad Zain Arshad, and Humaira Amir.
    • Department of Radiology, Combined Military Hospital, Rawalpindi, Pakistan.
    • J Coll Physicians Surg Pak. 2023 Jan 1; 33 (1): 565756-57.

    AbstractOmphalomesenteric duct (OMD) anomalies occur as a result of resorption failure during gestation. Various forms of OMD anomalies are documented depending upon the degree of resorption (complete or partial) including Meckels diverticulum, fistulas, fibrous bands, and cysts to umbilical polyps. Among these, Meckels diverticulum is the most common of these anomalies, and omphalomesenteric duct fistula (OMF) is the most rare. Complete persistence of OMD in neonates results in OMF, which has a male predominance. OMF is documented in less than 0.1% of the population. Differentials include urachal remnants and umbilical granuloma. We report a rare case of a 10-day male neonate who presented with umbilical swelling and discharge. This case is presented to highlight the occurrence of this extremely rare phenotype to raise a high index of suspicion and awareness among healthcare providers. Key Words: Omphalomesenteric duct fistula, Umbilical swelling, Sinogram.

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