Ann Surg Treat Res.  2016 Aug;91(2):90-92. 10.4174/astr.2016.91.2.90.

Meckel diverticulum in exomphalos minor

• Sohn HJ
• Park KW
• Lee NM
• Kim MK
• Lee SE

• KMID: 2344501
• DOI: http://doi.org/10.4174/astr.2016.91.2.90

Abstract

A congenital hernia into the base of the umbilical cord is known as an exomphalos and when the size of the defect is 5 cm or less and containing only bowel, it is called as exomphalos minor. We present a case of a newborn with an exomphalos minor within a Meckel diverticulum. He underwent surgical resection of the Meckel diverticulum and repair of the abdominal wall defect. To our knowledge, this is the first reported case of Meckel diverticulum in an exomphalos minor in Korea.

Keyword

Meckel diverticulum; Omphalocele; Minors

MeSH Terms

Abdominal Wall
Hernia
Hernia, Umbilical*
Humans
Infant, Newborn
Korea
Meckel Diverticulum*
Minors
Umbilical Cord

Figure

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  Fig. 1 Preoperative photograph showing 2.5-cm umbilical mass surrounded by a thin amnion.

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  Fig. 2 Intraoperative finding showing a Meckel's diverticulum herniated into the exomphalos minor.

Reference

1. Jones PG. Exomphalos (syn. omphalocele). A review of 45 cases. Arch Dis Child. 1963; 38:180–187.

2. Groves R, Sunderajan L, Khan AR, Parikh D, Brain J, Samuel M. Congenital anomalies are commonly associated with exomphalos minor. J Pediatr Surg. 2006; 41:358–361.

3. Ng J, Antao B, Mackinnon E. Congenital intestinal fistula with exomphalos minor. Pediatr Surg Int. 2006; 22:619–621.

4. Simms MH, Corkery JJ. Meckel's diverticulum: its association with congenital malformation and the significance of atypical morphology. Br J Surg. 1980; 67:216–219.

5. Vachharajani AJ, Rao R, Keswani S, Mathur AM. Outcomes of exomphalos: an institutional experience. Pediatr Surg Int. 2009; 25:139–144.

6. Asabe K, Oka Y, Kai H, Shirakusa T. Iatrogenic ileal perforation: an accidental clamping of a hernia into the umbilical cord and a review of the published work. J Obstet Gynaecol Res. 2008; 34(4 Pt 2):619–622.