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Complete evagination of a patent vitellointestinal duct and adjacent ileal limbs from an omphalocele sac: an extreme presentation
  1. Sarah Kher-ru Sim,
  2. Rambha Rai and
  3. Anette Sundfor Jacobsen
  1. Paediatric Surgery, KK Women’s and Children’s Hospital, Singapore
  1. Correspondence to Dr Sarah Kher-ru Sim, sarah.sim{at}


Vitellointestinal duct (VID) anomalies have been described extensively in the literature. However, an everted VID with prolapse of ileum arising from an omphalocele is rare, and its appearance at birth can be alarming and can present a diagnostic challenge. We describe a baby born to a teenage diabetic mother who was noted to have a strange exophytic mass arising from the abdominal wall. Antenatal scans had revealed multiple other malformations but not an omphalocele. He was operated on early, and the diagnosis of a patent VID with prolapse of the ileum arising from an omphalocele was only confirmed intraoperatively. The duct was resected, the ileum closed primarily and primary closure of the abdominal wall was performed without tension. He recovered well postoperatively. A brief review of similar cases is included.

  • paediatric surgery
  • gastrointestinal surgery
  • congenital disorders
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  • Contributors SK-rS: design, data, writing of manuscript. RR: patient care, data, writing of manuscript. ASJ: patient care, data, supervision and advisor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental/guardian consent obtained.

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