Document Detail

Look twice before you clamp: decapitation of an omphaloenteric duct. A case report.
MedLine Citation:
PMID:  16484846     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To report a case of accidental decapitation of a persistent omphaloenteric duct (POD) in congenital hernia of the umbilical cord in a newborn male.
CASE PRESENTATION AND INTERVENTION: The newborn was transferred to an intensive care unit, where under closer inspection the diagnosis of an omphalocele was presumed. Surgical exploration at our Pediatric Surgical University Clinic revealed a clamped and decapitated POD in the umbilical cord. The decapitation had gone unnoticed due to severe asphyxia resulting from meconium aspiration encountered at the time of delivery. Using general anesthesia, the clamp was removed under sterile conditions. The decapitation of the POD in the herniated umbilical cord was confirmed at this time. The severed intestine was sutured and closed using 5-0 Vicryl sutures. The further course was uneventful.
CONCLUSION: Herniation of the umbilical cord at the time of birth by intestinal loops or POD is rare, but caution should be taken by midwives before clamping in order to avoid the type of injury seen in this case.
Cornelia van Tuil; Amulya K Saxena; Gunter H Willital
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Medical principles and practice : international journal of the Kuwait University, Health Science Centre     Volume:  15     ISSN:  1011-7571     ISO Abbreviation:  Med Princ Pract     Publication Date:  2006  
Date Detail:
Created Date:  2006-02-17     Completed Date:  2006-07-13     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  8901334     Medline TA:  Med Princ Pract     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  156-8     Citation Subset:  IM    
Copyright Information:
(c) 2006 S. Karger AG, Basel
Pediatric Surgical University Clinic, Munster, Germany.
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MeSH Terms
Hernia, Umbilical / diagnosis*,  surgery*
Iatrogenic Disease
Ileum / injuries
Infant, Newborn
Vitelline Duct / injuries*

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