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Med J Bakirkoy. 2008; 4(4): 163-165


An adult patient with patent omphalomesenteric duct: Case report

Ahmet Oğuz Hasdemir, Oktay Büyükaşık, Kahraman Dinler, Ercan Yalçın, Cavit Çöl.

Abstract
An adult patient with patent omphalomesenteric duct who presented with fecal umbilical discharge was excised with median incision. The omphalomesenteric duct was followed up to the junction with the small intestine and resection of this segment with the duct was performed. There were no postoperative complications. In the presence of feculent, bilious, seropurulent, or serous discharge at the umbilicus, omphalomesenteric duct or an intestinal umbilical fistula must be remembered in the differential diagnosis.

Key words: Patent omphalomesenteric duct, umbilical discharge



Erişkin bir hastada omfalomezenterik kanal açıklığı: Olgu sunumu

Özet
Erişkin bir hastada göbekten intestinal içerik gelmesi ile kendini gösteren omfalomezenterik kanal açıklığı tespit edildi. Medyan laparatomi ile göbek, omfalomezenterik kanal ve ilişkili olduğu ileal segment rezeke edilerek tedavisi sağlandı. Postoperatif komplikasyon olmadı. Göbekten gelen fekaloid, safralı, seropürülan ve hatta seroz akıntı varlığında altta yatan omfalomezenterik kanal ya da umbliko-intestinal fistülün varlığı araştırılmalıdır.

Anahtar Kelimeler: Omfalomezenterik kanal açıklığı, umblikal akıntı



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