Sunday, July 16, 2017

Patent OMD (umbilical enteric fistula)

 

Patent OMD (umbilical enteric fistula)

Patent conduit connecting the umbilicus to the ileum, is one of the least common variants of OMD anomalies and usually presents with minimal but persistent discharge of intestinal contents or stool at the umbilicus.

Diagnosis is usually made during infancy as feces or bilious drainage is noted at the umbilicus.

Severe, erosive dermatitis may occur in the skin adjacent to the umbilicus due to the irritating effects of fecal drainage.

It should be treated early with laparotomy or laparoscopy and excision of the duct to avoid intussusception or volvulus.

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