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Persistent omphalomesenteric duct and urachus presenting as an umbilical hernia
  1. Sameer Ashok Rege1,
  2. Vineeth Bhargav Saraf2 and
  3. Mahesh Jadhav2
  1. 1Professor and unit head at the department of General Surgery, King Edward Memorial and Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India
  2. 2Department of General Surgery, King Edward Memorial and Seth Gordhandas Sunderdas Medical College, Mumbai, Maharashtra, India
  1. Correspondence to Dr Vineeth Bhargav Saraf; vineethsaraf{at}


Vitellointestinal duct anomalies, although one of the most frequent malformations to be found (2%–3% in population), they are most unlikely to cause symptoms. A persistent Vitellointestinal duct can induce abdominal pain, bowel obstruction, intestinal haemorrhage and umbilical sinus, fistula or hernia which commonly occurs in children. Patent vitellointestinal duct or persistent omphalomesenteric duct is a very unusual congenital anomaly which occurs in 2% of the population related to the embryonic yolk stalk. Similarly, urachal anomalies remain a rare finding, with the most common being a cyst or sinus followed by patent urachus and rarely a urachal diverticulum. Presenting symptoms include periumbilical discharge, pain and a palpable mass.

Here, we report a case of an adult patient with patent vitellointestinal duct and urachus identified intraoperatively on diagnostic laparoscopy when being operated for umbilical hernia repair.

  • General surgery
  • Small intestine

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  • Contributors Conceptualisation: SAR, VBS. Original draft preparation: VBS, MJ. Review and editing: SAR.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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