“Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report

Abstract Background Gastrointestinal duplications are uncommon occurring in 1 in 5000 live births. Small intestine is commonly involved, while appendicular duplications are extremely rare. Vitelline duct anomalies arise due to failure of involution of the omphalomesenteric duct. Their spectrum range...

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Autores principales:	S. Rajkiran Raju, A. R. Prasanna Kumar, A. M. Shubha, Julian Crasta
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Gastro-intestinal duplication Appendicular duplication Patent vitello-intestinal duct Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/164a9c36eef24a0cb67063938bfe720d
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spelling	oai:doaj.org-article:164a9c36eef24a0cb67063938bfe720d2021-11-08T10:56:28Z“Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report10.1186/s43159-021-00127-22090-5394https://doaj.org/article/164a9c36eef24a0cb67063938bfe720d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s43159-021-00127-2https://doaj.org/toc/2090-5394Abstract Background Gastrointestinal duplications are uncommon occurring in 1 in 5000 live births. Small intestine is commonly involved, while appendicular duplications are extremely rare. Vitelline duct anomalies arise due to failure of involution of the omphalomesenteric duct. Their spectrum ranges from a simple umbilical sinus to completely patent omphalomesenteric fistulae. We report here a rare association of complete appendico-cecal duplication with patent vitello-intestinal duct (PVID). Case presentation A 14-year-old girl who presented with complaints of scant, foul smelling, and feculent discharge from umbilicus intermittently since birth was evaluated and diagnosed to have a patent vitello-intestinal duct. At laparotomy, a patent vitello-intestinal tract opening unusually at the ileo-cecal junction was noted. In addition, an appendico-cecal duplication cyst bearing an appendix on the mesenteric side and a 4-cm long orthotopic appendix on the native cecum was found with the duplex cecum sharing a common wall and blood supply. The terminal ileum with the duplication and patent vitello-intestinal duct were excised in toto, and an end-to-end ileo-ascending anastomosis was done. The child is well at 1 year follow-up. Conclusion A complete appendico-cecal (Type C) duplication with ectopically inserted patent vitello-intestinal duct is reported here as an unusual association, discussing its management and the probable disarray in the embryological development.S. Rajkiran RajuA. R. Prasanna KumarA. M. ShubhaJulian CrastaSpringerOpenarticleGastro-intestinal duplicationAppendicular duplicationPatent vitello-intestinal ductPediatricsRJ1-570SurgeryRD1-811ENAnnals of Pediatric Surgery, Vol 17, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gastro-intestinal duplication Appendicular duplication Patent vitello-intestinal duct Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	Gastro-intestinal duplication Appendicular duplication Patent vitello-intestinal duct Pediatrics RJ1-570 Surgery RD1-811 S. Rajkiran Raju A. R. Prasanna Kumar A. M. Shubha Julian Crasta “Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report
description	Abstract Background Gastrointestinal duplications are uncommon occurring in 1 in 5000 live births. Small intestine is commonly involved, while appendicular duplications are extremely rare. Vitelline duct anomalies arise due to failure of involution of the omphalomesenteric duct. Their spectrum ranges from a simple umbilical sinus to completely patent omphalomesenteric fistulae. We report here a rare association of complete appendico-cecal duplication with patent vitello-intestinal duct (PVID). Case presentation A 14-year-old girl who presented with complaints of scant, foul smelling, and feculent discharge from umbilicus intermittently since birth was evaluated and diagnosed to have a patent vitello-intestinal duct. At laparotomy, a patent vitello-intestinal tract opening unusually at the ileo-cecal junction was noted. In addition, an appendico-cecal duplication cyst bearing an appendix on the mesenteric side and a 4-cm long orthotopic appendix on the native cecum was found with the duplex cecum sharing a common wall and blood supply. The terminal ileum with the duplication and patent vitello-intestinal duct were excised in toto, and an end-to-end ileo-ascending anastomosis was done. The child is well at 1 year follow-up. Conclusion A complete appendico-cecal (Type C) duplication with ectopically inserted patent vitello-intestinal duct is reported here as an unusual association, discussing its management and the probable disarray in the embryological development.
format	article
author	S. Rajkiran Raju A. R. Prasanna Kumar A. M. Shubha Julian Crasta
author_facet	S. Rajkiran Raju A. R. Prasanna Kumar A. M. Shubha Julian Crasta
author_sort	S. Rajkiran Raju
title	“Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report
title_short	“Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report
title_full	“Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report
title_fullStr	“Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report
title_full_unstemmed	“Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report
title_sort	“type c appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/164a9c36eef24a0cb67063938bfe720d
work_keys_str_mv	AT srajkiranraju typecappendicularduplicationwithpatentvitellointestinalductanunforeseenassociationacasereport AT arprasannakumar typecappendicularduplicationwithpatentvitellointestinalductanunforeseenassociationacasereport AT amshubha typecappendicularduplicationwithpatentvitellointestinalductanunforeseenassociationacasereport AT juliancrasta typecappendicularduplicationwithpatentvitellointestinalductanunforeseenassociationacasereport
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“Type C appendicular duplication with patent vitello-intestinal duct—an unforeseen association”—a case report

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